摘要
对２０３例前次剖宫产术后再次妊娠的孕妇进行阴道试产的前瞻性研究。结果：１８３例（９０．１％）成功地完成了阴道分娩。在分娩后时行宫腔探查，发现１例子宫瘢痕不全破裂，即行剖腹探查子宫修补术，无１例发生孕产妇死亡，阴道分娩者的自然分娩率为７９．２％，阴道助产者为２０．８％。１８３例新生儿产后１分钟Ａｐｇａｒ评分≥８分者１７０例；４～７分者１３例（其中１例致命畸形死亡）。
bjective To investigate the trial of labor following previous cesarean section.Methods Three hundred and sixty one cases of pregnant women with history of previous low seg-ment transverse cesarean section were prospectively studied on mode of delivery, 158 cases delivered byelective repeat cesarean section.203 cases were allowed a trial of labor.Results 183 out of 203 patients had successful vaginal deliveries, One patient with uterine scarpartly ruptured was noted on uterine exploration after delivery, There was no maternal death. The rateof spontaneous vaginal delivery was 79.2%,The rate of vacuum extractor and low forceps deliveries was 20.8%, The l minute Apgar score of 170 newborns was≥8. Neonatal asphyxia was found in 13 new-borns and there was one neonatal death due to congenital abnormality.Conclusions Carefully selecting the indication of trial labor and monitoring the labor course are very important for increasing successful vaginal delivery rate and reducing repeat cesarean section.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1995年第12期721-723,共3页
Chinese Journal of Obstetrics and Gynecology
关键词
剖腹产术
妊娠
分娩
Cesarean section Pregnancy Labor Prospective studies
