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剖腹产后阴道分娩的频率及其胎儿对母亲的结果
Islam Bano1, Sofia Naz2, Sidra Rashid3
1Department of Gynae/ Obs. Army Medical College/CMH Rawalpindi, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|February 26, 2024
概括
剖腹产后的阴道分娩 (VBAC) 在精心挑选的患者中有28.67%成功. 这种方法可以帮助降低重复剖腹产的高率,并改善母亲和婴儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 剖腹产后的阴道分娩 (VBAC) 与重复剖腹产相比,提供了降低血流和感染等好处.
- 重复剖腹产的发生率往往超过世界卫生组织15%的标准.
研究的目的:
- 为了确定VBAC的发生.
- 在成功的VBAC病例中评估胎儿与母亲的结果.
- 支持精心挑选的患者进行VBAC试验,以减少重复剖腹产的发生率.
主要方法:
- 在Rawalpindi联合军事医院从2021年3月到9月进行了一项横截面研究.
- 包括150名患有先前一个下段剖腹产史的患者,年龄在20-35岁,怀孕37-41周的自发分娩.
- 获得了知情同意,随后进行了分娩试验,随后对胎儿和母亲的结果进行了监测. 数据使用SPSS v25.0.0.进行分析.
主要成果:
- 在符合条件的患者中,成功的VBAC发生在28.67%.
- 关键结局包括分娩后出血 (2.32%),没有痕消失,出生体重低 (16.28%),1分钟APGAR分数低 (23.26%),NICU入院 (9.30%).
结论:
- 仔细选择患者参加VBAC试验至关重要.
- 实施VBAC试验可以有效地减少重复剖腹产的发生率,并提高成功的阴道分娩率.
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