POST CESAREAN-SECTION DELIVERY

被引:7
作者
BOLAJI, II [1 ]
MEEHAN, FP [1 ]
机构
[1] UNIV COLL HOSP GALWAY,CLIN RES UNIT,GALWAY,IRELAND
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 1993年 / 51卷 / 03期
关键词
CESAREAN SECTION; PERINATAL MORTALITY; OXYTOCIN; EPIDURAL ANALGESIA; TRIAL OF SCAR;
D O I
10.1016/0028-2243(93)90033-9
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Recent clinical attention has focused upon the rising rate of caesarean sections being performed and whether patients with a previous caesarean section should be allowed a vaginal delivery. In this paper, the worldwide trend of caesarean section and the role of trial of scar following single and multiple caesarean surgery is reviewed. The role of oxytocin and regional epidural analgesia is evaluated as well as perinatal and maternal mortality. On the basis of the available data, there is no justification for the current clinical practice of almost 99% prevalence of elective repeat caesarean section in some hospitals in the North America. Oxytocin and epidural analgesia, when carefully monitored, are safe and reasonable in these patients. Watchful waiting has always been an essential virtue in obstetric management and should not be replaced by hopeful expectancy. This aspect of the art of obstetrics would appear to require rejuvenation if we are to stem the rising tide of caesarean sections.
引用
收藏
页码:181 / 192
页数:12
相关论文
共 57 条
[1]   CESAREAN-SECTION SURVEY IN GALWAY - 1973 THROUGH 1987 [J].
BOLAJI, II ;
MEEHAN, FP .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1993, 48 (01) :1-8
[2]   INCREASE IN THE CESAREAN BIRTH-RATE [J].
BOTTOMS, SF ;
ROSEN, MG ;
SOKOL, RJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1980, 302 (10) :559-563
[3]   EXTRADURAL BLOCK IN PATIENTS WHO HAVE PREVIOUSLY UNDERGONE CESAREAN-SECTION [J].
CARLSSON, C ;
NYBELLLINDAHL, G ;
INGEMARSSON, I .
BRITISH JOURNAL OF ANAESTHESIA, 1980, 52 (08) :827-830
[4]   MANAGEMENT OF PREGNANCY AND DELIVERY FOLLOWING CESAREAN SECTION [J].
COSGROVE, RA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1951, 145 (12) :884-888
[5]  
Cragin EB, 1916, NY MED J, V104, P1
[7]   TRIAL OF LABOR AFTER PREVIOUS CESAREAN-SECTION - PROGNOSTIC INDICATORS OF OUTCOME [J].
DEMIANCZUK, NN ;
HUNTER, DJS ;
TAYLOR, DW .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1982, 142 (06) :640-642
[8]   RELATION OF PRIVATE OR CLINIC CARE TO THE CESAREAN BIRTH-RATE [J].
DEREGT, RH ;
MINKOFF, HL ;
FELDMAN, J ;
SCHWARZ, RH .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (10) :619-624
[9]  
DEWHURST CJ, 1957, J OBSTET GYNAECOL, V64, P113
[10]   VAGINAL BIRTH AFTER 2 OR MORE PREVIOUS CESAREAN SECTIONS [J].
FARMAKIDES, G ;
DUVIVIER, R ;
SCHULMAN, H ;
SCHNEIDER, E ;
BIORDI, J .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1987, 156 (03) :565-566