摘要
目的调查瘢痕子宫女性二胎政策后再次妊娠意愿,并分析分娩方式对母婴结局的影响。方法调查500例有单胎生育史的女性再次妊娠意愿及相关影响因素;观察180例再次妊娠的瘢痕子宫产妇采用不同分娩方式对母婴结局的影响。结果 500例女性中有再次妊娠意愿者244例(48. 80%),分析其影响因素发现前胎分娩方式和是否符合二胎政策差异有统计学意义(P <0. 05); Logistic回归分析显示分娩方式和二胎政策为再次妊娠意愿独立危险因素(P <0. 05); 180例再次妊娠瘢痕子宫产妇中顺产组出血量、产程时间及平均住院时间均明显少于剖宫产组(P <0. 05),两组新生儿Apgar评分及母婴并发症发生情况差异无统计学意义(P> 0. 05)。结论二胎政策开放提高了瘢痕子宫女性生育二胎积极性,且选择阴道试产有利于减少手术并发症,改善分娩结局,保障母婴身心健康。
Objective To investigate the willingness of re-pregnancy after two-child policy among women with scar uterus and analyze the effects of delivery modes on maternal and infant outcomes.Methods The willingness of re-pregnancy and related influencing factors of 500 women with single-birth history were investigated.Maternal and infant outcomes were observed in 180 cases of re-pregnant women with scar uterus by different delivery modes.Results There were 244 cases (48.80%) with re-pregnancy willingness among 500 women.Analysis of influencing factors found that there was a statistically significant difference between first delivery modes and whether they met the two-child policy (P<0.05).Logistic regression analysis found that delivery modes and two- child policy were independent risk factors for re-pregnancy willingness (P<0.05).The bleeding volume,duration of labor and average length hospital stay in natural labor group were significantly lower than those in cesarean section group (P<0.05),and there was no significant difference in neonatal Apgar score and maternal-infant complications between the two groups (P> 0.05).Conclusions Two-child policy has increased the enthusiasm of women with scar uterus to have second child,and vaginal trial delivery can reduce surgical complications,improve delivery outcomes and safeguard physical and mental health of mother and child.
作者
曾新梅
刘丽群
ZENG Xin Mei;LIU Li Qun(Maternity Department,The Women and Children's Health Care Hospital of Longchuan County,Heyuan City,Guangdong Province,517300)
出处
《中国妇幼卫生杂志》
2018年第6期58-61,共4页
Chinese Journal of Women and Children Health
关键词
瘢痕子宫
二胎政策
再次妊娠
分娩方式
scar uterus
two-child policy
re-pregnancy
delivery modes
