Chazotte C, Cohen W R
Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, Bronx, NY.
Am J Obstet Gynecol. 1990 Sep;163(3):738-42. doi: 10.1016/0002-9378(90)91059-l.
Of 711 patients who were delivered after one or more previous cesarean sections, 17 (2.4%) had an extremely serious complication. Uterine rupture and placenta previa or placenta accreta with accompanying hemorrhage were the major contributors to mortality and major morbidity. Nine uterine ruptures occurred, including five associated with labor with a low transverse uterine scar and one with an unknown scar (1.4% of trials of labor). There were two cases of placenta previa and five with varying degrees of placenta accreta. The nature and frequency of the observed complications emphasize the potentially serious remote consequences of cesarean section.
在711例曾接受过一次或多次剖宫产术后分娩的患者中，17例（2.4%）发生了极其严重的并发症。子宫破裂、前置胎盘或胎盘植入伴出血是导致死亡和严重发病的主要原因。发生了9例子宫破裂，其中5例与子宫下段横切口瘢痕处临产有关，1例瘢痕情况不明（占试产病例的1.4%）。有2例前置胎盘和5例不同程度的胎盘植入。观察到的并发症的性质和发生率强调了剖宫产可能产生的严重远期后果。
