真空辅助剖腹产对产妇和胎儿结局的评估

Manisha Agarwal, Sweekrati Solanki, Sumedha Sachau
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引用次数: 0

摘要

:剖腹产:在剖腹产(有时也称为剖腹产)过程中,婴儿通过在母亲腹部和子宫上的切口娩出。近几十年来,无论是医学需要还是选择性剖腹产,全世界的剖腹产率都急剧上升,超过了世界卫生组织建议的 10-15%。根据 2015 年世卫组织的一份声明,应尽一切努力让有需要的妇女接受剖腹产,而不是以达到目标率为目标。因此,我们必须研究能够改善剖宫产产妇和新生儿健康状况的策略。本研究比较了真空辅助剖腹产组和人工剖腹产组对产妇和新生儿的影响:2012年6月至2018年4月期间,勒克瑙绿色十字医院开展了一项渐进式研究。500 名孕妇作为参与者参与了这项研究。该研究获得了机构人类伦理委员会的批准。作为这项队列研究的一部分,共进行了 250 例剖腹产手术,每例手术均使用软杯真空抽吸器对胎儿头皮进行真空辅助,并像往常一样以人工方式去除头骨,同时以压迫宫底作为支撑。由于没有子宫活动和羊水,所有患者都接受了预先计划的剖腹产。研究结果表明,人工拔管剖腹产不如真空辅助剖腹产。此外,研究还注意到,真空辅助剖腹产的子宫切口延伸较小,估计的失血量和产妇的不适感也较少。 在阿普加评分、婴儿复苏要求或进入新生儿重症监护室方面,真空辅助剖腹产和人工抽取剖腹产没有区别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vacuum-assisted caesarean delivery assessment of maternal & fetal outcome
: The baby is delivered via incisions made in the mother's abdomen and uterus during a Caesarean delivery, sometimes known as a C-section. Whether medically necessary or elective, caesarean sections have increased sharply in recent decades all throughout the world, exceeding the WHO-recommended 10-15% rate. Every effort should be taken to give cesarean sections to women in need rather than aiming to achieve a target rate, according to a 2015 WHO statement. Therefore, we must investigate the strategies that can improve CD's maternal and neonatal health condition. This study compares the outcomes for the mother and the newborn in the vacuum-assisted CD and manual CD groups.: A progressive study was conducted at Lucknow's Green cross Hospital between June 2012 and April 2018. 500 pregnant ladies took part in this study as participants. This research was approved by the institutional human ethical committee. 250 caesarean sections were performed as part of this cohort study, each with vacuum assistance utilizing a soft cup vacuum extractor on the fetal scalp and manual removal of the skull as usual with fundal compression as support. Due to the absence of uterine activity and amniotic fluid, all of the patients underwent preplanned caesarean sections. The study's findings showed that manual extraction Caesarean birth is inferior to vacuum-assisted Caesarean delivery. Additionally, it was noted that Vacuum Assisted Caesarean Delivery resulted in less uterine incision extension, estimated blood loss, and maternal discomfort. : There was no difference between Vacuum and Manual Extraction caesarean deliveries in terms of Apgar Score, the requirement for infant resuscitation, or admission to the NICU.
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