أجري البحث في مشفى الأسد الجامعي باللاذقية في الفترة بين 01/01/2014 و 30/06/2015 و شمل 95 حامل مع سوابق قيصرية واحدة. و أجري لــ 30 مريضة قيصرية انتخابية و تعرضت 65 مريضات لتجربة مخاض و بدراسة سير المخاض و طريقة 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.
References used
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YazdiZadeh B, Nedajat 5, Mohammad K, Rashidian A, changizi N cesarean section rate in Iran, multi-dimensional approaches for behavioral change of providers: a qualitative study. BMC Health serv Res. 2011; 5; 11:159
The objective of this study was to compare the effect of using intravaginal sponges with intramuscular (IM) injection of prostaglandin hormone within the reproductive season and their effect on Lambing rate and birth rate in Awassi ewes. Thirty ewes
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