期刊
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
卷 47, 期 12, 页码 6091-6099出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0300060519884145
关键词
Vaginal birth after cesarean section; vaginal delivery; labor duration; labor curve; cervical dilation; trial of labor
资金
- Fujian Science and Technology Project [2018Y0005]
- Fujian Medical Innovation Subject [2017-CX-11]
- Key Clinical Specialty Discipline Construction of Fujian, P.R.C. [593]
- Fujian Provincial Health and Family Planning Commission Youth Research Project [2017-2-11]
Objective To investigate the characteristics of labor in Chinese women who successfully have vaginal birth after cesarean section (VBAC). Methods A retrospective cohort study was conducted in a hospital with 1000 beds between January 1 2015 and December 31 2017. A total 657 parturients with VBAC were selected. Women were divided into two groups according to previous cesarean section with or without trial of labor. Labor curves were analyzed and interval-censored regression was used to estimate the duration of labor. Results The 95th percentile for the first stage of labor in VBAC was 13.03 hours, and labor accelerated after 4 cm of cervical dilation in both groups. The dilation rate in the trial of labor group was superior to that in the non-trial of labor group at 6-10 cm of dilation. After 6 cm, labor accelerated much faster in the trial of labor group than in the non-trial of labor group. Conclusions Management of labor in parturients with VBAC whose cervical dilation is >6 cm should be treated differently according to previous cesarean section with or without trial of labor. If there is trial of labor in a previous delivery, the duration of labor should be shortened.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据