双胞胎怀孕的分娩方法:评估结果,风险因素和转向选择性剖腹产的范式转变
Merin Abraham1, Noor Ali2,3, S S Lakshmi Shivani Garapati4
1Internal Medicine, Kasturba Medical College, Manipal, Manipal, IND.
Cureus
|November 6, 2023
概括
计划性阴道分娩 (VD) 在没有并发症的双胞胎怀孕中与剖腹产一样安全. 鼓励健康双胞胎怀孕的VD可以减少不必要的CS率并改善孕产妇和新生儿的结果.
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
- 生殖健康 生殖健康
背景情况:
- 全球双胞胎出生和剖腹产 (剖腹产) 的增加与母亲的晚年和生育治疗有关.
- 双胞胎怀孕是高风险的,给产科医生带来复杂的分娩决策.
- 缺乏明确的指导方针往往导致人们更喜欢CS而不是阴道分娩 (VD).
研究的目的:
- 在双胞胎怀孕中,比较剖腹产 (CS) 与阴道分娩 (VD) 的产妇和新生儿结果.
- 为了调查CS是否绝对优于VD双交付.
- 为优化双重交付模式提供基于证据的建议.
主要方法:
- 叙事审查分析了过去二十年的数据.
- 对双胞胎怀孕中CS和VD新生儿和母亲结局的比较.
- 专注于不复杂的双胞胎怀孕,以评估分娩方法的安全性.
主要成果:
- 计划性阴道分娩 (VD) 在大多数没有并发症的双胞胎怀孕中显示出与剖腹产 (CS) 相当的安全性.
- 在某些情况下,VD可能与CS相比提供更好的结果.
- 结果挑战了在双胞胎交付中对CS的常规偏好.
结论:
- 在健康的双胞胎怀孕中,应鼓励计划性静脉疾病.
- 解决患者对静脉疾病的犹至关重要.
- 制定明确的双胞胎交付指南对于减少不必要的CS率和改善结果至关重要.
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