Mordel N, Ezra Y, Benshushan A, Dorembus D, Schenker J G, Sadovsky E
Department of Obstetrics and Gynecology, Hebrew University Hadassah Medical Center, Jerusalem, Israel.
J Reprod Med. 1993 Sep;38(9):695-6.
It is commonly accepted that cesarean section is the preferred mode of delivery of triplets. The present study was performed to evaluate maternal complications and neonatal outcome in 21 women operated on by a transverse lower segment incision as compared to 8 parturients who underwent surgery by a longitudinal uterine incision. There was no significant difference in mean gestational age at delivery, mean weight of the newborns, Apgar scores, perinatal mortality rates, or intraoperative or postpartum hemorrhage incidence between the two groups. Thus, a transverse lower segment uterine incision should be used in triplet deliveries to increase the chances of a normal vaginal delivery in the future.
剖宫产是三胞胎分娩的首选方式，这一点已被广泛接受。本研究旨在评估21例行下段横切口剖宫产的产妇并发症及新生儿结局，并与8例行子宫纵切口手术的产妇进行比较。两组在平均分娩孕周、新生儿平均体重、阿氏评分、围产期死亡率或术中及产后出血发生率方面均无显著差异。因此，三胞胎分娩时应采用下段横切口子宫切口，以增加未来正常阴道分娩的机会。
