相关实验视频
Updated: Jun 12, 2025
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
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四个或更多预定剖腹产的时间
Alev Esercan1, İsmail Demir1, Mehmet Kılıç2
1Obstetrics and Gynecology, Şanlıurfa Education and Research Hospital, Şanlıurfa, Turkey.
概括
预定的剖腹产,特别是对于多次先前剖腹产的妇女来说,应该在39周或更晚的时候进行. 等到39周后,可以减少新生儿短暂失眠等风险,确保母亲和婴儿的健康状况更好.
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
- 新生儿结局的结果.
背景情况:
- 全球剖腹产率不断上升,需要精确的妊娠年龄确定计划程序.
- 有限的文献讨论了女性进行四次或更多剖腹产的最佳时间.
研究的目的:
- 在没有分娩的女性中,确定计划剖腹产的理想妊娠周,这些女性有四次或更多次先前剖腹产的历史.
- 根据分娩时的妊娠年龄来评估母亲和新生儿的结果.
主要方法:
- 对2318名单独怀孕和无并发妊娠的孕妇进行了回顾性分析.
- 纳入标准:年龄超过18岁,没有怀孕药,没有先前存在的疾病. 剖腹产是按时间安排的,没有分娩开始.
- 排除标准:阴道变化,子宫破裂史,胎盘粘附谱系障碍.
主要成果:
- 根据妊娠周或之前的剖腹产次数,没有观察到新生儿整体结局的显著差异.
- 新生儿的过渡性短眠症在37周进行的预定剖腹产中明显增加,与晚期妊娠年龄相比 (p < 0.01).
结论:
- 计划式剖腹产最好在怀孕39周或更晚的时候进行,对于没有分娩的女性来说.
- 将选择性剖腹产推迟到39周似乎是安全的,并可能减少新生儿呼吸道并发症.
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