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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >Trial of scar or elective repeat caesarean section at maternal request?
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Trial of scar or elective repeat caesarean section at maternal request?

机译：应产妇要求尝试进行疤痕或选择性重复剖腹产手术？

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摘要

In a study between 1 January 1996 and 31 December 1998 at Watford General Hospital, we identified all women who booked having had a previous caesarean section. Data on age, social class and previous obstetric history was extracted from the notes, as was mode of delivery. Of the 718 patients identified, 497 were considered suitable for trial of scar. Of these 221 (44.5%) requested repeat caesarean section. Age, social class and indication for previous caesarean section could not predict those who accepted trial of scar. Of the 60 women who had had a previous successful trial of scar 59 (98.3%) underwent trial of scar and of the 48 who had had a vaginal delivery prior to caesarean section 37 (77.1%) underwent trial of scar (P < 0.01). Maternal request for caesarean section, without obstetric contraindication to trial of scar, accounted for 24.9% of all the elective caesarean sections undertaken in our unit.
机译：在1996年1月1日至1998年12月31日期间在沃特福德综合医院进行的一项研究中，我们确定了所有接受过剖腹产的女性。从笔记中提取了有关年龄，社会阶层和以前的产科史的数据，以及分娩方式。在确定的718例患者中，有497例被认为适合疤痕试验。在这些221人中，有44.5％要求重复剖腹产。年龄，社会阶层和先前剖腹产的指征无法预测接受疤痕试验的人。在先前成功进行过疤痕试验的60名妇女中，有59名（98.3％）接受了疤痕试验，而在剖腹产手术前进行了阴道分娩的48名妇女中有48名（77.1％）经过了疤痕试验（P <0.01） 。没有产科禁忌证的产妇剖腹产手术占疤痕总数的24.9％。

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