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在接受第二阶段剖腹产的妇女中产科结果:一项跨部门研究
Charmy A Vashi1, Nikita Vijay1, Anuja Bhalerao1
1Department of Obstetrics and Gynaecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, IND.
Cureus
|July 5, 2023
概括
第二阶段剖腹产 (CS) 与增加的孕产妇和胎儿并发症有关. 制定用于在完全宫扩张时进行CS的指导方针对于改善结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 剖腹产 (CS) 是阴道分娩的替代方案.
- 第二阶段的CS,在完全的宫扩张下进行,提出了独特的挑战.
- 产科医生面临的困难,在立即的CS和困难的阴道分娩之间做出决定,因为潜在的疾病.
研究的目的:
- 调查接受第二阶段剖腹产的妇女的产科结果.
- 确定与第二阶段CS相关的孕产妇和新生儿并发症.
- 突出了对CS完全扩展的标准化指导方针的需要.
主要方法:
- 一项涉及54名产后妇女的横截面研究,她们接受了第二阶段的CS.
- 从2021年1月到2022年12月在第三级护理中心收集的数据.
- 对指示,分娩技术 (修改的帕特瓦丹技术),手术内,手术后和新生儿并发症的分析.
主要成果:
- 第二阶段CS的主要症状是不令人放心的胎儿状态.
- 常见的手术内并发症:子宫角延伸;术后:产后出血 (PPH).
- 最常见的新生儿并发症:新生儿重症监护室 (NICU) 的入院.
结论:
- 第二阶段的CS与显著的孕产妇和胎儿发病率有关.
- 并发症包括子宫血管损伤,PPH和NICU入院.
- 迫切需要基于证据的指导方针来执行CS在完全宫扩张.
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