Ratio of transfer cesarean section after trial of labor and maternal-fetal adverse outcomes based on Robson classifications
10.3760/cma.j.issn.0529-567x.2019.08.002
- VernacularTitle:基于Robson分类系统分析不同类型的阴道试产失败中转剖宫产的构成及母儿结局
- Author:
Wen SUN
1
;
Xiaoyi WANG
;
Lin YU
;
Lin LIN
;
Huili ZHANG
;
Yanmei ZHOU
;
Chunhong SU
;
Dunjin CHEN
Author Information
1. 广州医科大学附属第三医院妇产科暨广东省产科重大疾病重点实验室 510150
- Keywords:
Cesarean Section;
Trial of labor;
Pregnancy outcome
- From:
Chinese Journal of Obstetrics and Gynecology
2019;54(8):512-515
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the ratio of transfer cesarean section after trial of labor and maternal-fetal outcomes based on Robson classifications.Methods The delivery data by cesarean section in Third Affiliated Hospital of Guangzhou Medical University from January 1st,2009 to December 31st,2015 (gestational age ＞28 weeks and newborn birth weight ＞1 000 g) were retrospectively collected.The ratio of transfer cesarean section after trial of labor and maternal-fetal adverse outcomes were analyzed by weighted adverse outcome score in different Robson classifications.Results (1) The highest ratio of transfer cesarean section after trial of labor was classification 9 (all abnormal lies,including previous cesarean section and breech were excluded) reached 47.31％ (431/911),followed by classification 2 (nulliparous women with a single cephalic pregnancy,＞37 weeks gestation who had labour induced) accounted for 44.90％(409/911).(2)The tops of weighted adverse outcome score of transfer cesarean section after trial of labor were classification 10 (single cephalic pregnancy at ＜37 weeks gestation,including women with previous cesarean delivery) 24.55,classification 5 (single cephalic pregnancy multiparous women,with at least one previous cesarean delivery,＞37weeks gestation) 3.64.Conclusion Carefully evaluating the delivery mode and emphasizing the intrapartum management in nulliparous women with a single cephalic pregnancy,at ＞ 37 weeks gestation who had labour induced and trial of labor after cesarean section is essential to reduce the risk of adverse outcomes in transfer cesarean section after trial of labor.
