The risk of unplanned reoperations in obstetrics

doi:10.3877/cma.j.issn.2095-3259.2016.01.004

Abstract

Abstract:

To improve the quality of obstetric care, we need to analyze the risk factors of unplanned reoperations in obstetrics, strictly control the indications and surgical timing of cesarean, and fully evaluate the risk of pre-operation, intra-operation and post-operation of pregnant women, and take comprehensive management of operation. Meanwhile, the hospitals regulate the unplanned reoperation in order to reduce the incidence of obstetric unplanned reoperation.

Key words: Postpartum hemorrhage, Reoperation, Postoperative complications, Placenta accrete, Placenta previa

Xiaotian Ma, Meihua Zhang. The risk of unplanned reoperations in obstetrics[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2016, 05(01): 15-18.

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References 12

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病例(例)	宫口开大	剖宫产指征	剖宫产术中所见	手术间隔时间	再次手术原因	再次手术术中所见
1	8 cm	胎儿窘迫	子宫切口左侧沿宫颈撕裂约3 cm	术后11 d	晚期产后出血，失血性休克，子宫复旧不良并感染	组织水肿，变脆，尤以下段明显，子宫颈左侧有一约3 cm裂口，炎性坏死，明显出血，行子宫次全切除术
2	10 cm	持续性枕横位	子宫下段菲薄，左侧阔韧带有一约5 cm×3 cm的血肿	术后4 d	晚期产后出血，失血性休克，子宫复旧不良并感染	子宫切口左侧近膀胱处活动性出血，组织水肿，脆性增加，打开膀胱腹膜返折处有一约2 cm裂口

病例(例)	宫口开大	剖宫产指征	剖宫产术中所见	手术间隔时间	再次手术原因	再次手术术中所见
1	8 cm	胎儿窘迫	子宫切口左侧沿宫颈撕裂约3 cm	术后11 d	晚期产后出血，失血性休克，子宫复旧不良并感染	组织水肿，变脆，尤以下段明显，子宫颈左侧有一约3 cm裂口，炎性坏死，明显出血，行子宫次全切除术
2	10 cm	持续性枕横位	子宫下段菲薄，左侧阔韧带有一约5 cm×3 cm的血肿	术后4 d	晚期产后出血，失血性休克，子宫复旧不良并感染	子宫切口左侧近膀胱处活动性出血，组织水肿，脆性增加，打开膀胱腹膜返折处有一约2 cm裂口

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