Value of Symphysiotomy in Obstructed Labour Management and Follow-Up of 31 Cases
作者:
Staffan Bergström,
Henrik Lublin,
Anders Molin,
期刊:
Gynecologic and Obstetric Investigation
(Karger Available online 1994)
卷期:
Volume 38,
issue 1
页码: 31-35
ISSN:0378-7346
年代: 1994
DOI:10.1159/000292441
出版商: S. Karger AG
关键词: Symphysiotomy;Obstructed labour
数据来源: Karger
摘要:
Experience of 32 cases of symphysiotomy carried out in Mozambique and in Botswana is reviewed. Of all cases only 1 was lost to follow-up. The observation period varied from 7 days to 6 months. Among 31 cases examined at discharge or on return for check-up few complications occurred. Vaginal laceration occurred in 3 cases, haematuria in 1 case and wound infection in 1 case. In 2 cases there was significant postoperative pain causing gait problems, but in no case were there significant problems with pain at discharge or at follow-up. It is concluded that the intervention is seldom complicated by severe sequelae, provided strict adherence to given indications is respected. In rural areas in the third world symphysiotomy is a life-saving and simple surgical intervention, which should be regarded as an adjunct measure in some cases with a moderately contracted pelvic outlet incompatible with normal vaginal delivery.
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