Gilbert L, Saunders N, Sharp F
Department of Obstetrics and Gynaecology, Northern General Hospital, Sheffield.
Br J Obstet Gynaecol. 1988 Dec;95(12):1312-6. doi: 10.1111/j.1471-0528.1988.tb06824.x.
Multiple pregnancy occurring in a patient who has previously had a lower-segment caesarean section is an unusual sequence of events. Retrospective analysis over an 11-year period in Sheffield from 1975 to 1985, revealed 25 cases, a rate of 1 in 3300 deliveries. The caesarean section rate in this group of women rose from 20% (3/15) in the first six years to 70% (7/10) in the latter years for no obvious reason. This change in management did not produce any improvement in fetal outcome but there was an increase in maternal morbidity. This analysis and a review of available literature suggest that multiple pregnancy is not in itself an indication for elective repeat caesarean section.
既往有下段剖宫产史的患者再次发生多胎妊娠是一种不常见的情况。对1975年至1985年在谢菲尔德进行的为期11年的回顾性分析显示，共有25例，发生率为每3300例分娩中有1例。这组女性的剖宫产率从最初六年的20%（3/15）上升到后几年的70%（7/10），原因不明。这种管理方式的改变并未使胎儿结局得到任何改善，但产妇发病率有所增加。该分析以及对现有文献的综述表明，多胎妊娠本身并非选择性再次剖宫产的指征。
