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[剖宫产术后产程及产后阶段的产道情况]

[The conduction of labor and postlabor periods following cesarean section].

作者信息

Tischendorf D

出版信息

Zentralbl Gynakol. 1979;101(8):547-54.

PMID:463421
Abstract

Out of 11315 childbirths under review, 109 women (0.96%) with state after secio caesarea were delivered of a child in the period from 1970 to 1978. In 63.3% of the cases it was possible to achieve a vaginal birth. With 450 caesarean sections, 2 cases of the mother mortality occurred. -- A comparison between the sectio and the re-sectio indications does not show any difference. -- Uterus rupture was noticed in 2 cases. -- In a comparative study, general palpating of the uterus is contrasted with a conservative behaviour involving haemorrhage, blood-pressure, and pulse controls. -- As a result, manual re-palpating is again recommended, however, should not be forced. In certain individual cases a conservative behaviour is also justified.

摘要

在接受审查的11315例分娩中,1970年至1978年期间有109名(0.96%)剖宫产术后的妇女分娩。在63.3%的病例中实现了阴道分娩。450例剖宫产中有2例产妇死亡。——剖宫产与再次剖宫产指征之间的比较未显示出任何差异。——发现2例子宫破裂。——在一项对比研究中,子宫的常规触诊与涉及出血、血压和脉搏控制的保守处理形成对比。——结果,再次建议进行手法重新触诊,但不应强行进行。在某些个别情况下,保守处理也是合理的。

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