[多胎妊娠的手术分娩]

[Surgical delivery in multiple pregnancy].

作者信息

Penev I, Negentsov N, Vlasova D, Marinov B

出版信息

Akush Ginekol (Sofiia). 1996;35(3):1-4.

Abstract

During the period 1986-1990, 142 women with multiple pregnancy were treated with the following methods: normal delivery--104 women (73.2%), sectio caesarea--35 women (24.7%), internal versio--2 women (1.4%), forceps operation--1 woman (0.7%). In 81 cases with premature delivery (before 37 week of gestation) was done: normal delivery--64 women (79%), sectio caesarea--15 women (18.5%), internal versio--2 women (2.5%). n 45 cases with unfavourable positions of foetuses it was performed: normal delivery--18 women (40%), sectio caesarea--25 women (55.6%), internal versio-2 women (4.4). (In 10 cases with sectio caesarea and 2 cases with internal versio the indications were prematurity as well as unfavourable positions of the foetuses). The authors consider that it is necessary to increase the operative interventions (sectio caesarea) in cases of multiple pregnancy.

摘要

1986年至1990年期间，对142例多胎妊娠妇女采用了以下治疗方法：顺产——104例（73.2%），剖宫产——35例（24.7%），内倒转术——2例（1.4%），产钳术——1例（0.7%）。81例早产（妊娠37周前）产妇的分娩方式为：顺产——64例（79%），剖宫产——15例（18.5%），内倒转术——2例（2.5%）。45例胎位异常产妇的分娩方式为：顺产——18例（40%），剖宫产——25例（55.6%），内倒转术——2例（4.4%）。（10例剖宫产和2例内倒转术的指征为早产以及胎位异常）。作者认为，在多胎妊娠病例中，有必要增加手术干预（剖宫产）。