الاختلاطات الجنينية والوالدية للولادة المهبلية بعد سوابق قيصرية واحدة

Authors

  • سحر حسن
  • عصام الدالي
  • بسمة سعيد

Abstract

أجري البحث في مشفى الأسد الجامعي باللاذقية في الفترة بين 01/01/2014 و 30/06/2015 وشمل 95 حامل مع سوابق قيصرية واحدة. وأجري لــ 30 مريضة قيصرية انتخابية وتعرضت 65 مريضات لتجربة مخاض وبدراسة سير المخاض وطريقة الولادة عند هذه الفئة تبين ما يلي:  بلغت نسبة الولادة المهبلية لسوابق القيصرية: • 69.3% في حال تعرضها لمخاض. • 42.8% عندما كان الحوض غير المجرب. • 60% عندما كان الحوض مجرب.  0%نسبة تمزق ندبة القيصرية السابقة عقب الولادة المهبلية لسوابق قيصرية واحدة.  0% نسبة استئصال رحم ولادي ولم تحدث أية وفاة والدية أو جنينية.  انخفاض مشعر أبغار في الدقيقة الأولى لدى الولدان في حال الولادة بقيصرية مكررة بمقدار الضعف مما هو عليه في حال الولادة المهبلية.  عندما يكون الاستطباب السابق للقيصرية الأولى معاود يؤدي إلى فشل ولادة مهبلية بعد سوابق قيصرية واحدة. This study was executed at Al-Asaad hospital in Lattakia between the period 01/01/2014 and 30/06/2015 and included 95 pregnancies with a prior cesarean (a year and a half before) and also an elective cesarean was executed to 30 patients while a trial of labor was executed to 65 patients. In studying the delivery way on this section, we noticed the following:  The rate of the vaginal birth after a prior cesarean reached:  69.3% when patients exposed to a trial of labor.  42.8% when patients had an unexperienced pelvis  60% when patients had an experienced pelvis  0% the rateofhysterorrhexisof a prior cesarean after a vaginal birth with a prior cesarean.  0% the rate ofHysterectomy and no parenthood or embryonal death happened.  There is an Abgar Index decrease in the first minute with the new births in the event of a duplicate cesarean delivery twice than it is in the case of vaginal delivery.  When the repetition of the prior indication for the first cesarean, this will lead to the failure of the vaginal birth after a prior cesarean.

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Published

2016-10-19

How to Cite

1.
حسن س, الدالي ع, سعيد ب. الاختلاطات الجنينية والوالدية للولادة المهبلية بعد سوابق قيصرية واحدة. Tuj-hlth [Internet]. 2016Oct.19 [cited 2024Apr.23];37(6). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/2089

Issue

Vol. 37 No. 6 (2015): العلوم الصحية

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