Kirkinen P
Department of Obstetrics and Gynaecology, University of Oulu, Finland.
Br J Obstet Gynaecol. 1988 Aug;95(8):778-82. doi: 10.1111/j.1471-0528.1988.tb06552.x.
The outcome and complications of caesarean section were compared between 64 women who had had between three and eight previous sections (mean four) and 61 women sectioned for the first or second time. Gestational age was slightly less in the group with multiple operations. Of the women with three or more previous sections 27% had developed a fenestration in the transverse uterine scar; this was symptomless in half of them, and there was no associated severe ante- or intrapartum haemorrhage. Operation time was longer in women with multiple caesarean sections, and 13% required a caesarean hysterectomy. There were no other differences in the operative or postoperative courses between the two groups. In most women who have had multiple caesarean sections it is possible to wait for elective delivery until the fetus is mature. No absolute upper limit for the number of repeat caesarean sections can be given.
对64名曾接受过3至8次剖宫产（平均4次）的女性与61名首次或第二次接受剖宫产的女性的剖宫产结局及并发症进行了比较。多次手术组的孕周略短。在有三次或更多次既往剖宫产史的女性中，27%的人子宫横切口处出现了开窗；其中一半人没有症状，且未伴有严重的产前或产时出血。多次剖宫产女性的手术时间更长，13%的人需要行剖宫产子宫切除术。两组在手术过程或术后病程方面没有其他差异。在大多数有多次剖宫产史的女性中，可以等待择期分娩直至胎儿成熟。无法给出重复剖宫产次数的绝对上限。
