[既往剖宫产术后使用前列腺素控制分娩]
[Control of labor with prostaglandins after previous cesarean section].
作者信息
Jelínek J, Páral V, Roztocil A, Pilka L, Huvar I, Hykel P
机构信息
II. Klinik für Geburtshilfe und Gynäkologie, Medizinischen Fakultät der Masaryk, Universität Brno.
出版信息
Zentralbl Gynakol. 1993;115(3):109-12.
The authors studied the possibilities of vaginal labour management by induction after previous caesarean section. They compared the effectiveness of oxytocin and prostaglandins in uterus action. A total of 48 patients after previous caesarean section were induced, 26 by oxytocin and 22 by prostaglandins. The success of the induction was 30.7% with oxytocin and 95.4% with prostaglandins. Compared were also both the incidence of complications during labour and the effect of the uterotonic used on the fetus. It follows from the results that local application of prostaglandins is more advantageous than overall application and carries practically no risk for the patient in labour.
作者研究了既往剖宫产术后引产进行阴道分娩管理的可能性。他们比较了缩宫素和前列腺素对子宫的作用效果。共有48例既往剖宫产术后的患者接受引产，其中26例使用缩宫素，22例使用前列腺素。缩宫素引产成功率为30.7%，前列腺素引产成功率为95.4%。同时还比较了分娩期间并发症的发生率以及所使用宫缩剂对胎儿的影响。结果表明，局部应用前列腺素比全身应用更具优势，且对产妇几乎没有风险。
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