PDF(Sci-hub)
Abstract：
OBJECTIVE: To evaluate adherence of obstetricians from our maternity to French practice guidelines concerning information to give to pregnant patients with a history of scarred uterus.
METHODS: Observational retrospective study performed on medical files from June to August 2014 and concerning women with a scarred uterus that gave live-birth after 37weeks of gestation. Information of patients had to concern the risks of a history of caesarean, the benefits and risks of the various delivery modes.
RESULTS: On 758 deliveries, 77 cases were studied: 48 patients were followed up from the beginning of pregnancy, 23 from the 2nd trimester and 6 were not followed. Among patients followed from the beginning, no data was written on medical file concerning information that should to be given in immediate post-partum, in preconception counseling, and at the beginning of pregnancy about the risks of scarred uterus and the mode of delivery. In the 8th month, information about benefits and risks of the planned delivery mode was noticed in 45% of files.
CONCLUSIONS: The information that need in theory to be given to the patients with scarred uterus appeared little or insufficiently noticed on medical files; which can be due either to an inaccurate information, or to a lack of transcription of the information nevertheless given. A check-list in obstetrical file would help to systematize the information to provide in scarred uterus patients.
METHODS: Observational retrospective study performed on medical files from June to August 2014 and concerning women with a scarred uterus that gave live-birth after 37weeks of gestation. Information of patients had to concern the risks of a history of caesarean, the benefits and risks of the various delivery modes.
RESULTS: On 758 deliveries, 77 cases were studied: 48 patients were followed up from the beginning of pregnancy, 23 from the 2nd trimester and 6 were not followed. Among patients followed from the beginning, no data was written on medical file concerning information that should to be given in immediate post-partum, in preconception counseling, and at the beginning of pregnancy about the risks of scarred uterus and the mode of delivery. In the 8th month, information about benefits and risks of the planned delivery mode was noticed in 45% of files.
CONCLUSIONS: The information that need in theory to be given to the patients with scarred uterus appeared little or insufficiently noticed on medical files; which can be due either to an inaccurate information, or to a lack of transcription of the information nevertheless given. A check-list in obstetrical file would help to systematize the information to provide in scarred uterus patients.
摘要：
目的：评估产科医生从我们的产妇到法国执业指南的依从性，这些指南涉及向有疤痕子宫病史的孕妇提供的信息。
方法：2014年6月至8月对医学档案进行观察性回顾性研究，研究对象为妊娠37周后活产的子宫瘢痕妇女。患者的信息必须关注剖腹产史的风险，各种交付模式的收益和风险。
结果：在758次交付中，研究77例：从怀孕开始随访48例，妊娠中期23例，未随访6例。从一开始随访的患者中，医疗档案上没有关于产后应立即提供的信息的数据，在先入为主的咨询中,以及在怀孕开始时关于瘢痕子宫的风险和分娩方式。在第八个月,有关计划交付模式的收益和风险的信息在45%的文件中被注意到。
结论：理论上需要给予瘢痕子宫患者的信息在医学档案上很少或不够注意；这可能是由于信息不准确，或缺乏转录的信息，尽管如此。产科文件中的检查表将有助于将疤痕子宫患者提供的信息系统化。
方法：2014年6月至8月对医学档案进行观察性回顾性研究，研究对象为妊娠37周后活产的子宫瘢痕妇女。患者的信息必须关注剖腹产史的风险，各种交付模式的收益和风险。
结果：在758次交付中，研究77例：从怀孕开始随访48例，妊娠中期23例，未随访6例。从一开始随访的患者中，医疗档案上没有关于产后应立即提供的信息的数据，在先入为主的咨询中,以及在怀孕开始时关于瘢痕子宫的风险和分娩方式。在第八个月,有关计划交付模式的收益和风险的信息在45%的文件中被注意到。
结论：理论上需要给予瘢痕子宫患者的信息在医学档案上很少或不够注意；这可能是由于信息不准确，或缺乏转录的信息，尽管如此。产科文件中的检查表将有助于将疤痕子宫患者提供的信息系统化。
