Armon Peter
Formerly Department of Obstetrics & Gynaecology, Kilimanjaro Christian Medical Centre, Tanzania (1973-1978) Formerly Department of Obstetrics & Gynaecology, Furness General Hospital, Barrow in Furness, UK (1978-1990).
Trop Doct. 2015 Apr;45(2):60-7. doi: 10.1177/0049475515573367.
The place of symphysiotomy, as an alternative to Caesarean section (CS), in the management of established obstructed labour in low- and middle-income, resource-poor countries (LMICs), is reviewed. It is suggested that it does have a very definite place, especially in mothers of low age and parity, in circumstances where medical facilities are limited, where antenatal care and hospital delivery are not assured in a future pregnancy, and in cultures where it is important to the woman that a vaginal delivery is achieved.
本文综述了耻骨联合切开术作为剖宫产替代方案，在低收入和中等收入资源匮乏国家（LMICs）处理确诊的梗阻性分娩中的应用情况。研究表明，耻骨联合切开术确实有明确的应用价值，特别是对于低龄初产妇，在医疗设施有限、未来妊娠无法确保产前护理和医院分娩的情况下，以及在一些文化中，对女性来说实现阴道分娩非常重要的情况下。
