Zhan Jun, Xing Aiyun, Tan Xi
Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
J Int Med Res. 2021 Mar;49(3):300060521999522. doi: 10.1177/0300060521999522.
Cesarean section is a common obstetric operation and an important method for saving the lives of mothers and their neonates in dangerous situations. Nevertheless, cesarean section has a higher risk and might have more complications compared with natural delivery. A reasonable choice of delivery method is important for maternal and neonatal health. The incidence of complications after cesarean section for mothers and neonates during the second stage of labor significantly increases compared with planned cesarean section. During the second stage of labor, the fetal head is deep in the pelvic cavity. If a cesarean section is performed at this stage, it is prone to causing complications, including difficult delivery of the fetal head, delayed uterine incision, and massive hemorrhage, which seriously threaten the health of the mother and her neonate. For the first time, we report a case of cesarean section after complete opening of the uterine orifice, which led to almost mistakenly suturing the cervix to the uterus. This report will hopefully help surgeons anticipate such incidents during cesarean section in the future.
剖宫产是一种常见的产科手术，是在危险情况下挽救母亲及其新生儿生命的重要方法。然而，剖宫产风险更高，与自然分娩相比可能有更多并发症。合理选择分娩方式对母婴健康很重要。与计划性剖宫产相比，第二产程剖宫产术后母亲和新生儿并发症的发生率显著增加。在第二产程中，胎儿头部深陷盆腔。如果在此阶段进行剖宫产，容易引发并发症，包括胎儿头部娩出困难、子宫切口延迟和大量出血，严重威胁母亲及其新生儿的健康。我们首次报告了一例子宫口完全张开后进行剖宫产的病例，该病例几乎导致将宫颈误缝至子宫。本报告有望帮助外科医生在未来剖宫产时预见此类事件。
