Okonofua F E, Olatunbosun O A
Int J Gynaecol Obstet. 1985 Dec;23(6):471-4. doi: 10.1016/0020-7292(85)90071-2.
In order to test the relative effectiveness of cesarean section and vaginal delivery in mild abruptio placentae associated with live fetuses, 23 consecutive patients were delivered vaginally and 18 by cesarean section over an 18-month period at the University of Ife Hospital in Nigeria. The perinatal mortality of the vaginal delivery group (52.2%) was significantly greater than that of those delivered by cesarean section (16.7%) (P greater than 0.02; less than 0.05; chi 2 test). The 1-min Apgar score test was also significantly greater than that of those delivered by cesarean section (P greater than 0.001). These differences have been attributed to the admission-to-delivery interval, which was significantly longer in the vaginal delivery group (12 h vs. 2 h). It is concluded that cesarean section is clearly superior to vaginal delivery in the management of abruptio placentae associated with live fetuses.
为了测试剖宫产和阴道分娩对伴有活胎的轻度胎盘早剥的相对有效性，在尼日利亚伊费大学医院的18个月期间，连续23例患者经阴道分娩，18例经剖宫产分娩。阴道分娩组的围产期死亡率（52.2%）显著高于剖宫产分娩组（16.7%）（P大于0.02；小于0.05；卡方检验）。1分钟阿氏评分也显著高于剖宫产分娩组（P大于0.001）。这些差异归因于入院至分娩的间隔时间，阴道分娩组明显更长（12小时对2小时）。得出的结论是，在处理伴有活胎的胎盘早剥时，剖宫产明显优于阴道分娩。
