Mejía R, Escalona A, Cabello A, Videla S
Rev Chil Obstet Ginecol. 1989;54(5):307-9.
The American College of Obstetricians and Gynecologists recommends that women with one previous cesarean section be allowed a trial of labor. One of the exclusions to this recommendation are women with 2 or more previous cesarean section because of the risk of uterine dehiscence. We measured fibrosis in a sample obtained from the uterine scar region, finding the higher rate of fibrosis (35.7%) for the group with one previous cesarean section. We conclude that uterine scar shows no clear differences after one, two or more cesarean sections, so the risk of uterine scar dehiscence could be similar.
美国妇产科医师学会建议，有过一次剖宫产史的女性可以尝试顺产。该建议的排除标准之一是有两次或更多次剖宫产史的女性，因为存在子宫破裂的风险。我们测量了取自子宫瘢痕区域样本中的纤维化程度，发现有过一次剖宫产史的女性组纤维化发生率更高（35.7%）。我们得出结论，剖宫产一次、两次或更多次后子宫瘢痕没有明显差异，因此子宫瘢痕破裂的风险可能相似。
