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首页> 外文期刊>Journal of Clinical Medicine Research >Risk of Intrapartum Cervical Lacerations in Vaginal Singleton Deliveries in Women With Cerclage
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Risk of Intrapartum Cervical Lacerations in Vaginal Singleton Deliveries in Women With Cerclage

机译：结扎妇女阴道单胎分娩时发生子宫颈内裂的风险

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Background: We examined the obstetric outcomes of singleton vaginal deliveries in women with cerclage at our institute to confirm the risk of intrapartum cervical lacerations in vaginal deliveries of women with cerclage.Methods: Data on all Japanese singleton vaginal deliveries at ≥ 34 weeks’ gestation managed at the Japanese Red Cross Katsushika Maternity Hospital between 2008 and 2014 were collected.Results: During the study period, cervical cerclage was performed in 95 of 9,490 (1.0%) women with singleton pregnancy at 12 - 22 weeks of singleton pregnancy who delivered at ≥ 34 weeks’ gestation. The incidence of intrapartum cervical lacerations and postpartum hemorrhage ≥ 1,000 mL in the women with cerclage were higher significantly than that in the women without cerclage (cervical lacerations: crude odds ratio (OR): 26.9, 95% confidence interval (CI): 14 - 51, P < 0.01; postpartum hemorrhage: crude OR: 2.86, 95% CI: 1.6 - 4.9, P < 0.01). Using a multivariate analysis, cerclage was independently associated with the increased incidence of intrapartum cervical lacerations (P < 0.01).Conclusions: Cervical cerclage is an independent risk factor of intrapartum cervical lacerations in vaginal deliveries.J Clin Med Res. 2015;7(9):714-716doi: http://dx.doi.org/10.14740/jocmr2227w
机译：背景：我们在研究所检查了环扎型女性单胎阴道分娩的产科结局，以确认环扎型女性阴道分娩的产后宫颈裂伤风险。方法：所有妊娠≥34周日本单胎阴道分娩的数据结果：在研究期间，在9 490名单胎妊娠妇女中，有95例在单胎妊娠12-22周时分娩≥9例，其中95例进行了宫颈环扎手术。怀孕34周。有环扎的妇女的产时宫颈裂伤和产后出血≥1000 mL的发生率显着高于无环扎的妇女（宫颈裂伤：原始比值比（OR）：26.9，95％置信区间（CI）：14- 51，P <0.01;产后出血：粗OR：2.86，95％CI：1.6-4.9，P <0.01）。使用多变量分析，环扎与产时宫颈撕裂伤的发生率增加独立相关（P <0.01）。结论：宫颈环扎是阴道分娩中产时宫颈撕裂的独立危险因素。 2015; 7（9）：714-716doi：http://dx.doi.org/10.14740/jocmr2227w

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