146例剖宫产后阴道分娩的前瞻性研究。

L Kouam, D C Nkemayim, I Nsangou, P M Tebeu, A S Doh
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引用次数: 1

摘要

我们报告了1993年至2002年期间在雅温得(喀麦隆)大学教学医院进行的剖腹产术后阴道分娩的146例病例。在本报告所述期间,在总共9 439例分娩中,进行了945例剖腹产手术(10%)。141例自然分娩,5例辅助抽吸分娩。13例经试产失败后行剖宫产。产妇因肺栓塞死亡1例。我们得出的结论是,严格选择以前剖腹产的患者进行分娩试验,使阴道分娩成为剖腹产的安全选择。
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Vaginal delivery after caesarean section: a propective study of 146 cases.

We report on a series of 146 cases of vaginal delivery after previous Caesarean section conducted between 1993 and 2002 at the University Teaching Hospital, Yaounde (Cameroon). During the period under review 945 cases of Caesarean section were done out of a total of 9 439 deliveries (10 %). Delivery was spontaneous in 141 cases whereas in 5 cases it was assisted by vacuum extraction. In 13 cases Caesarean section was carried out after failure of trial of labour. Maternal mortality, resulting from pulmonary embolism, was observed in 1 case. We conclude that strict selection of patients who had previous Caesarean section for trial of labour renders vaginal delivery a safe alternative to Caesarean section.

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