摘要
目的分析剖宫产术后瘢痕子宫再次妊娠分娩方式。方法通过对我院2014年2月-2016年3月我院妇产科就诊收治的110例剖宫产术后瘢痕子宫足月妊娠孕妇病例资料做回顾性分析,分析所有产妇的妊娠结局及对比两组孕妇的住院时间、出血量、并发症及新生儿情况等。结果本研究110例剖宫产术瘢痕子宫足月妊娠孕妇中阴道试产率成功47例(42.73%),再次行剖宫产术63例(57.27%),子宫破裂发生2例(1.81%),阴道试产组住院时间、术中出血量、新生儿窒息发生率、胎儿窘迫发生率及各种并发症发生率均明显短于或少于再次剖宫产组,差异具有统计学意义(P<0.05)。结论剖宫产术瘢痕子宫足月妊娠孕妇若符合阴道试产的条件可行阴道试产,有利于产妇及新生儿的身心健康,可降低并发症及节约住院经费,且安全可行。
Objective To analyze the modes of delivery of uterine re-pregnancy after clinical cesarean section. Methods A retrospective analysis was made of the data of 110 cases of cesarean section admitted to our hospital between February 2014 and March 2016. Pregnancy outcomes of all these cases were analyzed. The hospital admission time, bleeding volume, complications and neonatal health were compared between two groups of pregnant women. Results A total of 110 cases of cesarean section scars for pregnant women were included in this investigation. The success rate of vaginal birth was 42.73% （47 cases） . There were 63 cases （57.27% ） of cesarean section and 2 cases （1. 81% ） of uterine rupture. The vaginal birth group was much better in terms of hospital stay,amounts of perioperative bleeding,incidence of neonatal asphyxia,fetal distress and complications the than the ce-sarean section group,and the difference was statistically significant （P〈0.05）. Conclusion Women during cesarean section uter-ine scar pregnancy should try vaginal delivery if it is available,which is safe,feasible,economical and conducive lo maternal and newborn health while reducing complications.
出处
《解放军预防医学杂志》
CAS
2017年第10期1267-1269,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
基金
陕西省中医药管理局科技计划项目(No.20120724)
