羊膜腔灌注术后因子宫破裂而导致的引产并发症

A trial of labor complicated by uterine rupture following amnioinfusion.

作者信息

Adair C D, Sanchez-Ramos L, Kaunitz A M, Briones D

机构信息

Department of Obstetrics and Gynecology, University of Flordia Health Science Center, Jacksonville, USA.

出版信息

South Med J. 1995 Aug;88(8):847-8. doi: 10.1097/00007611-199508000-00012.

DOI:10.1097/00007611-199508000-00012

PMID:7631213

Abstract

Amnioinfusion has become accepted in the management of intrapartum cord compression, meconium-stained fluid, and oligohydramnios. Limited experience exists regarding amnioinfusion in patients undergoing a trial of labor after cesarean section and its potential complications. We report a case of trial of labor in which uterine rupture occurred following intrapartum amnioinfusion. This case demonstrates the need for careful attention to amnioinfusion volumes and administration in patients with a previous cesarean section.

摘要

羊膜腔灌注已被广泛应用于产时脐带受压、羊水粪染及羊水过少的处理。对于剖宫产术后试产患者使用羊膜腔灌注及其潜在并发症的经验有限。我们报告一例在产时羊膜腔灌注后发生子宫破裂的试产病例。该病例表明，对于有剖宫产史的患者，在进行羊膜腔灌注时需要密切关注灌注量及给药情况。