Девочки, к нам пришли замечательны новости - блог новостей по нашей тематике от ICAN. Доказательные исследования. Я так пробежалась бегло...Я помещу пару-тройку выдержек из них в англ. варианте здесь. Остальные будем переводить.
Есть ли желающие помочь в переводах и постараться на всобщее благо?
------Vaginal Delivery of Breech Presentation
The risks and benefits of a trial of labor for frank or complete breech fetuses versus a planned cesarean section are examined. Researchers indicate that a "planned vaginal delivery is reasonable in selected women with a term singleton breech fetus." Read Full Article. ------это про роды в тазовом предлежании...ученые провели таки эксперименты, что лучше плановое кс или вагинальные роды при тазовом предлежании и они отметили, что запланированныевагинальные роды - более разумное решение, нежели плановое кс у женщин, беременных одним плодом. Дальше идет объяснение почему они пришли к такому выводу. (будем переводить)
-------Kamath BD, Todd JK, Glazner JE, Lezotte D, Lynch AM.
Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine, Denver, Colorado 80045, USA. Beena.Kamath@ucdenver.edu
OBJECTIVE: To examine the outcomes of neonates born by elective repeat cesarean delivery compared with vaginal birth after cesarean (VBAC) in women with one prior cesarean delivery and to evaluate the cost differences between elective repeat cesarean and VBAC. METHODS: We conducted a retrospective cohort study of 672 women with one prior cesarean delivery and a singleton pregnancy at or after 37 weeks of gestation. Women were grouped according to their intention to have an elective repeat cesarean or a VBAC (successful or failed). The primary outcome was neonatal intensive care unit (NICU) admission and measures of respiratory morbidity. RESULTS: Neonates born by cesarean delivery had higher NICU admission rates compared with the VBAC group (9.3% compared with 4.9%, P=.025) and higher rates of oxygen supplementation for delivery room resuscitation (41.5% compared with 23.2%, P<.01) and after NICU admission (5.8% compared with 2.4%, P<.028). Neonates born by VBAC required the least delivery room resuscitation with oxygen, whereas neonates delivered after failed VBAC required the greatest degree of delivery room resuscitation. The costs of elective repeat cesarean were significantly greater than VBAC. However, failed VBAC accounted for the most expensive total birth experience (delivery and NICU use). CONCLUSION: In comparison with vaginal birth after cesarean, neonates born after elective repeat cesarean delivery have significantly higher rates of respiratory morbidity and NICU-admission and longer length of hospital stay. LEVEL OF EVIDENCE: II.
PMID: 19461417 [PubMed - indexed for MEDLINE] ------ здесь разбирают неонатальные исходы при плановом кс и вагинальных родах после кс и риски развития рдс.
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These studies indicated that elective induction of labor at or after 41 weeks' gestation lowered cesarean risk by 22 percent compared to waiting. ---то бишь здесь говорится,что индукция родов разумна, начиная с 41 недели и позже, нежели выжидать до последнего . Таким образом уменьшается риск кс на 22%
однако
With these substantial caveats in mind, it’s far too soon to rush to the conclusion that induction of labor is “safer” than spontaneous labor, even in post-dates pregnancies. The fact remains that women must be aware of the risks associated with any obstetrical intervention and have the freedom to make choices that they believe are best for themselves and their babies, not doctors’ protocols and hospital time clocks.--- женщины должны помнить и орисках, связанных с акушерскими вмешателсьтвами и должны иметь свободное право выбора решать что лучше для них и их детей, не полагаясь на протоколы и госпитальные сроки.
Тема: Роды после кесарева 4 (Прочитано 200470 раз)