摘要
目的探讨疤痕子宫孕妇采用阴道试产对妊娠结局的影响作用。方法选择在我院和苏州市立医院本部分娩的疤痕子宫孕妇68例为研究对象。将疤痕子宫孕妇作为观察组,并选择同期分娩的非疤痕孕妇68例为对照组。观察组采用阴道试产,对照组采用阴道自然分娩,比较两组阴道分娩成功率、妊娠结局和新生儿质量的差异性。结果观察组阴道试产成功率为95.59%,新生儿不良事件发生率为1.47%,总产程为(10.5±2.5)h,出血量为(210.2±26.5)ml,住院时间为(4.5±1.2)d,产后并发症发生率为2.94%;对照组阴道分娩成功率为97.06%,新生儿不良事件发生率为2.94%,总产程为(10.9±2.4)h,出血量为(215.6±30.2)ml,住院时间为(4.3±1.3)d,产后并发症发生率为1.47%;两组各项指标比较,差异无统计学意义(P>0.05)。结论疤痕子宫孕妇采用阴道试产能有效避免子宫再次受创,有利于产妇产后恢复,且试产成功率高、安全性强,能有效改善妊娠结局,提高分娩质量,确保产妇和新生儿的安全。
Objective To study the scar uterus pregnant women with vaginal trial production impact on pregnancy outcome. Methods 68 cases of this part of the delivery of pregnant women with scar uterus in our hospital and Suzhou Municipal Hospital were selected as the research objects. The pregnant woman with scar uterus was treated as the observation group. 68 cases of non-scar pregnant women in the same period were selected as the control group. The pregnant woman in the observation group received the vaginal delivery, the pregnant woman in the control group was given the natural vaginal delivery. The differences in the success rate of vaginal delivery, the outcome of pregnancy and the quality of the newborn were compared between the two groups. Results The observation group success rate of vaginal trial production was 95.59%, the incidence of neonatal adverse events was 1.47%, the total labor time was（10.5±2.5） h, the bleeding amount was（210.2±26.5） ml, the length of hospital stay was（4.5±1.2） d, the incidence of postpartum complications was 2.94%; Control group vaginal delivery success rate was 97.06%, the incidence of neonatal adverse events was 2.94%, the total labor time was（10.9±2.4） h, the bleeding amount was（215.6±30.2） ml, the length of hospital stay（4.3±1.3） d, the incidence of postpartum complications was 1.47%; The indexs of two groups were compared, the difference was not statistically significant（P〉0.05）. Conclusion Pregnant women with vaginal trial production can effectively avoid scar uterus hit again, is advantageous to the maternal postpartum recovery, and trial-produce the success rate is high, the safety is strong, can effectively improve the pregnancy outcome, improve the quality of delivery, ensure the safety of mothers and newborns.
出处
《中国继续医学教育》
2017年第27期46-47,共2页
China Continuing Medical Education
关键词
疤痕子宫
阴道试产
妊娠结局
scar uterus
vaginal trial production
pregnancy outcomes
