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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 397 - 403 (7page)
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초록· 키워드
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ObjectiveAfter globally acceptance of planned vaginal birth after cesarean section (VBAC), the mode of induction is still amatter of debate and requires further discussion. We aimed to study obstetric outcomes in post-cesarean patientsundergoing induction of labor with prostaglandin gel compared with patients who developed spontaneous laborpains. MethodsAll patients at 34 weeks or more of gestation with previous one cesarean section eligible for trial of labor aftercesarean section admitted in a labor room within one year were divided in 2 groups. Group one consisted of patientswho experienced the spontaneous onset of labor pains and group 2 consisted of patients who underwent inductionof labor with prostaglandin gel. They were analyzed for maternofetal outcomes. Descriptive statistics, independentsample t-test, and chi-square test were applied using SPSS 20 software for statistical analysis. ResultsBoth groups were comparable in maternal age, parity, and fetal weight, but different in bishop score, mode ofdelivery, and neonatal outcome. Admisson bishop score was 6.61±2.51 in group 1 and 3.15±1.27 in group 2 (P<0.005). In the patients who experienced spontaneous labor, 86.82% had successful VBAC. In the patients with induced labor,64.34% had successful VBAC with an average dose of gel of 1.65±0.75. Both groups had one case each of uterinerupture. The neonatal intensive care unit admission rate was 4.1% in group one and 10.4% in group 2. ConclusionThis study reflects that supervised labor induction with prostaglandin gel in previous one cesarean section patients isa safe and effective option.
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참고문헌 (25)
참고문헌 신청
American College of Obstetricians and Gynecologists / New VBAC guidelines / ACOG
Cohen B / 2001 / Brief history of vaginal birth after cesarean section / Clin Obstet Gynecol 44:604~608
Royal College of Obstetricians and Gynecologists / 2015 / Birth after previous cesarean birth / RCOG
Betran AP / 2015 / What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies / Reprod Health 12:57
Ye J / 2016 / Association between rates of caesarean section and maternal and neonatal mortality in the 21st century : a worldwide population-based ecological study with longitudinal data / BJOG 123:745~753
Cohen B / 2001 / Brief history of vaginal birth after cesarean section / Clin Obstet Gynecol 44:604~608
Royal College of Obstetricians and Gynecologists / 2015 / Birth after previous cesarean birth / RCOG
Betran AP / 2015 / What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies / Reprod Health 12:57
Ye J / 2016 / Association between rates of caesarean section and maternal and neonatal mortality in the 21st century : a worldwide population-based ecological study with longitudinal data / BJOG 123:745~753
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