■我们研究的目的是描述接受安全分娩联合会剖宫产后分娩试验的产妇和新生儿的发病率和死亡率。
■这是对安全劳工数据库联盟的二次分析,一项为期7年的回顾性队列研究。根据期望的分娩方式评估母婴结局:计划选择性再次剖宫产或剖宫产后试产。
■在我们的分析中,9858名患者,我们的研究人群有4400例(45%)希望进行剖宫产后分娩试验的患者和5458例(55%)希望进行选择性再次剖宫产的患者.与选择性再次剖宫产的妇女相比,在剖宫产后尝试试产的妇女更有可能发生产科出血(校正比值比1.6;95%CI1.3-2.0)和输血(校正比值比2.3;95%CI1.6-3.2)。
■剖宫产后接受试产的产妇发病率主要与出血有关。
UNASSIGNED: The aim of our study is to describe maternal and neonatal morbidity and mortality in patients undergoing trial of labor after cesarean from the Consortium on Safe Labor.
UNASSIGNED: This was a secondary analysis of the Consortium on Safe Labor database, a retrospective cohort study over a 7 year study period. Maternal and neonatal outcomes were evaluated based on desired delivery mode: planned elective repeat cesarean delivery or trial of labor after cesarean.
UNASSIGNED: Of 9858 patients in our analysis, our study population had 4400 patients (45%) who desired trial of labor after cesarean and 5458 patients (55%) who desired elective repeat cesarean delivery. Women who attempted trial of labor after cesarean compared to those who had an elective repeat cesarean delivery were more likely to have an obstetric hemorrhage (adjusted odds ratio 1.6; 95% CI 1.3 -2.0) and blood transfusion (adjusted odds ratio 2.3; 95% CI 1.6 -3.2).
UNASSIGNED: Maternal morbidity in women undergoing trial of labor after cesarean was predominantly hemorrhage-related.