剖腹产后的下一次分娩 - 为什么女性不选择试验分娩?
Sarah J Murphy1, Mize Omar1, Charlotte Madden2
1RCPI, Ireland; Midlands Regional Hospital Mullingar, Ireland.
European journal of obstetrics, gynecology, and reproductive biology
|February 27, 2025
概括
剖腹产后的阴道分娩 (VBAC) 是安全的,但这项爱尔兰研究中的大多数女性选择重复剖腹产. 探索女性的担忧是提高VBAC率的关键.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 生殖医学 生殖医学
背景情况:
- 剖腹产后的阴道分娩 (VBAC) 是大多数先前下段剖腹产 (LSCS) 的女性的安全选择.
- 尽管成功率高 (72-75%),但爱尔兰的VBAC率仍然很低 (2019-2020年为18.9%-20.7%).
研究的目的:
- 调查在爱尔兰地区产科病房中先前患有LSCS的妇女的选择和结果.
- 了解影响VBAC吸收和重复LSCS速率的因素.
主要方法:
- 在2022年1月至12月期间对符合条件的妇女进行回顾性,横截面研究.
- 数据来自医院患者调查 (HIPE) 系统收集的数据.
主要成果:
- 在210名女性中,53%选择计划重复LSCS.
- 在选择VBAC的98名女性中,只有41.8%的女性尝试了分娩试验.
- 总体而言,80%的妇女选择重复剖腹产.
结论:
- 该部门的大多数女性宁愿重复LSCS而不是尝试VBAC,尽管成功率很高.
- 在国际上,初级LSCS率的上升将增加重复剖腹产率.
- 需要进一步研究女性对VBAC的担忧和障碍,以减少重复的LSCS发病率.
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