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家庭医による家庭医のためのプライマリケア上達術 » 帝王切開後経腟分娩(VBAC) アップデート

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帝王切開後経腟分娩(VBAC) アップデート

帝王切開後経腟分娩(VBAC) アップデート

http://www.aafp.org/afp/2011/0115/p214.html

ＡＣＯＧ（米国産婦人科学会）の2010年ＶＢＡＣのアップーデートである。ＶＢＡＣとＴＯＬＡＣの両方の言葉を器用に使い分けている。違いをしっかりと押さえておこう。2010年早期にＮＩＨ（アメリカ国立衛生研究所）がＴＯＬＡＣも短期・長期的にみても初産婦の普通分娩と合併症などのリスクがほぼ同じである、というコンセンサスによってＡＣＯＧのガイドラインも変更になったらしい。家庭医にとってはうれしい話だ。複数回帝王切開歴があっても、双子であっても、以前の帝王切開場所が分からなくても、ＴＯＬＡＣでもよい、というのに新鮮さを覚える。日本でももっとＴＯＬＡＣを普及させたい。

update: 2011/01/25 | 家庭医プライマリケアアップデート
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