完全性子宫破裂后的妊娠与分娩。
Pregnancy and delivery after complete uterine rupture.
作者信息
Delecour L, Rudigoz R-C, Dubernard G, Huissoud C
机构信息
Department of obstetrics and gynecology, hospices civils de Lyon, Croix Rousse university hospital, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France.
Department of obstetrics and gynecology, hospices civils de Lyon, Croix Rousse university hospital, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France; EA 7425 HESPER, Health Services and Performance Research, université Claude-Bernard-Lyon 1, 8, avenue Rockefeller, 69373 Lyon 8, France; Claude-Bernard university, université de Lyon, Lyon 1, Lyon, France.
出版信息
J Gynecol Obstet Hum Reprod. 2018 Jan;47(1):23-28. doi: 10.1016/j.jogoh.2017.10.004. Epub 2017 Nov 3.
INTRODUCTION
To assess the obstetric outcome of pregnancies occurring after a complete uterine rupture.
METHODS
Descriptive study of a series of 11 pregnancies after complete uterine rupture.
RESULTS
This study includes 10 women with 11 pregnancies. There were no recurrences of complete uterine rupture. All women had cesarean deliveries between 32 and 37 weeks' gestation. There were no cases of either severe hemorrhage or placenta accreta and no maternal or neonatal deaths. All women had close clinical and ultrasound monitoring and were hospitalized during the third trimester.
CONCLUSION
Women with a history of complete uterine rupture can have a subsequent pregnancy with a thoroughly favorable outcome with appropriate care conditions, including prophylactic caesarean section.
引言
评估完全性子宫破裂后妊娠的产科结局。
方法
对一系列11例完全性子宫破裂后的妊娠进行描述性研究。
结果
本研究包括10名女性的11次妊娠。未发生完全性子宫破裂复发。所有女性均在妊娠32至37周之间行剖宫产。无严重出血或胎盘植入病例，无孕产妇或新生儿死亡。所有女性均接受密切的临床和超声监测，并在孕晚期住院。
结论
有完全性子宫破裂病史的女性，在包括预防性剖宫产在内的适当护理条件下，后续妊娠可获得完全良好的结局。
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