Profile of Pregnant Women and Success of the Uterine Test on a Uni or Bi-Scar Uterus at the Maternity Ward of Panzi Hospital, in the Democratic Republic of the Congo  

作　　者：Prosperine Kongwa Madoli Olivier Nyakio Raha Maroyi Éloge Ilunga-Mbaya Gloire Mwenze Julien Bwama Botalatala Omari Mukanga Dieudonné Sengeyi Mushengezi Amani Prosperine Kongwa Madoli;Olivier Nyakio;Raha Maroyi;Éloge Ilunga-Mbaya;Gloire Mwenze;Julien Bwama Botalatala;Omari Mukanga;Dieudonné Sengeyi Mushengezi Amani(Department of Gynecology and Obstetrics, Panzi General Referral Hospital, Evangelical University in Africa, Bukavu, Democratic Republic of the Congo;Department of Gynecology and Obstetrics, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of the Congo;SVS Statistics Department, Panzi General Referral Hospital, Bukavu, Democratic Republic of the Congo)

机构地区：[1]Department of Gynecology and Obstetrics, Panzi General Referral Hospital, Evangelical University in Africa, Bukavu, Democratic Republic of the Congo [2]Department of Gynecology and Obstetrics, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of the Congo [3]SVS Statistics Department, Panzi General Referral Hospital, Bukavu, Democratic Republic of the Congo

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第7期1151-1162,共12页妇产科期刊（英文）

摘　　要：Introduction: Trial of labor after a previous cesarean section (TOLAC) is a method that requires strict monitoring to decrease the cesarean section (CS) rate and improve the maternal and neonatal prognosis. The objective is to determine the profile and outcome of patients with one and two previous CSs who performed TOLAC at Panzi General Referral Hospital. Methodology: This is a cross-sectional study with a prospective collection of data of 111 patients with one and two previous CSs at Panzi Hospital from January 2021 to August 2022. Statistical Package for the Social Sciences SPSS version 23 software was used to analyze the collected data. The percentages of categorical variables were summarized in a frequency table. The mean or median with standard deviation was used to summarize quantitative variables. Results: The overall success rate of the TOLAC was 64%, with 63.8% following one previous CS and 64.3% following two CSs. The mean age of the patients was 27.09 years, with an age range of 25 - 34 years. They were mostly pauciparous (52.2%), married (88.3%), with a high school education (60.4%). The inter-delivery interval > 18 months was noted (64.1%) and overweight in 63.9%. More than three antenatal consultations were performed (58.6%). We found a mean gestational age of 38 (34 - 41) weeks. The perinatal mortality rate was 0.9%. However, we did not record any cases of maternal mortality during the study period. Conclusion: TOLAC after one and two previous CS is implemented in the maternity Unit of Panzi Hospital for well-selected patients. In addition, the success rate is similar after TOLAC with an acceptable maternal-neonatal prognosis.Introduction: Trial of labor after a previous cesarean section (TOLAC) is a method that requires strict monitoring to decrease the cesarean section (CS) rate and improve the maternal and neonatal prognosis. The objective is to determine the profile and outcome of patients with one and two previous CSs who performed TOLAC at Panzi General Referral Hospital. Methodology: This is a cross-sectional study with a prospective collection of data of 111 patients with one and two previous CSs at Panzi Hospital from January 2021 to August 2022. Statistical Package for the Social Sciences SPSS version 23 software was used to analyze the collected data. The percentages of categorical variables were summarized in a frequency table. The mean or median with standard deviation was used to summarize quantitative variables. Results: The overall success rate of the TOLAC was 64%, with 63.8% following one previous CS and 64.3% following two CSs. The mean age of the patients was 27.09 years, with an age range of 25 - 34 years. They were mostly pauciparous (52.2%), married (88.3%), with a high school education (60.4%). The inter-delivery interval > 18 months was noted (64.1%) and overweight in 63.9%. More than three antenatal consultations were performed (58.6%). We found a mean gestational age of 38 (34 - 41) weeks. The perinatal mortality rate was 0.9%. However, we did not record any cases of maternal mortality during the study period. Conclusion: TOLAC after one and two previous CS is implemented in the maternity Unit of Panzi Hospital for well-selected patients. In addition, the success rate is similar after TOLAC with an acceptable maternal-neonatal prognosis.

关 键 词：One Previous Caesarean Panzi General Referral Hospital Trial of Labor after Cesarean Section Two Previous Caesarean Vaginal Birth after Cesarean Sec-tion 

分 类 号：G63[文化科学—教育学]