Cerda Hinojosa J, Benavides de Anda L, Martínez Delgado E
Hospital, Clínica y Maternidad Conchita.
Ginecol Obstet Mex. 1994 Oct;62:312-4.
A retrospective study to determine the risks of normal delivery after cesarean section, was done. The inclusion criteria were found in 116 patients in six years covering the study. All the patients were permitted normal delivery and none received ocitocin. Sixty six patients accomplished delivery, which corresponds to 57%. In the rest of patients cesarean section was performed. The probability of ending in delivery was associated to women with three or more gestas. But cephalo-pelvic disproportion and fetal suffering, were associated to greater probability of ending in cesarean section. There was no dehiscence of uterine scar. It is concluded that with well established requisites it is possible to resolve by delivery with a great degree of confidence, at least 50% of cases with previous section.
开展了一项回顾性研究以确定剖宫产术后顺产的风险。在为期六年的研究中，共纳入了116例患者。所有患者均被允许顺产，且均未使用缩宫素。66例患者成功分娩，占比57%。其余患者则接受了剖宫产。分娩结局与有三次或更多次妊娠的女性相关。但头盆不称和胎儿窘迫与剖宫产结局的可能性增加相关。未出现子宫瘢痕裂开情况。结论是，具备完善的条件时，至少50%的既往有剖宫产史的病例可以通过顺产满怀信心地解决。
