摘要
目的探讨瘢痕子宫阴道试产的可行性和安全性。方法通过回顾性分析140例瘢痕子宫再次妊娠分娩产妇的临床资料,按患者分娩意愿将患者分为两组,66例患者采用阴道试产进行分娩作为阴道试产组;其他74例患者采用剖宫产进行分娩作为剖宫产组;另选取同期在我院阴道分娩的非瘢痕子宫患者70例作为对照组。观察三组患者分娩情况以及并发症情况。结果阴道试产组出血量、住院时间、新生儿体质量、住院费用均优于剖宫产组,差异有统计学意义(P <0. 05);而阴道试产组上述指标与对照组差异无统计学意义(P> 0. 05)。阴道试产组、剖宫产组、对照组并发症发生率分别为7. 58%、16. 22%、2. 86%。结论在严格评估和良好的产时监护下,瘢痕子宫再次妊娠经阴道分娩是安全可行的。
Objective To discuss the feasibility and safety of vaginal delivery- inl40 eases with sear uterus. Methods A total of 140 pregnant women with sear uterus were included in this study. In this study,140 eases with sear uterus were divided into the trial vaginal production（66） and cesarean section（74）. Furthermore,70 eases with vaginal delivery- of non-uterine scarwere designed as control group. The delivery- conditions and complications were valuated. Re- suits The average postpartum hemorrhage, duration for hospital stay and hospitalization costs in trial vaginal production group than those of cesarean section group were significantly better（ P 〈 0.05 ）. However, there were no significant differ- ences belween thetrial vaginal production group and control group. The incidences of complications among trial vaginal production,cesarean section and control group were 7.58% ,16.22% and 2.86% ,respectively. Conclusion The trial vaginal production with uterine sear is safe and feasible under monitor stage of labor, but vaginal delivery- indications should be rigorously evaluated. I
作者
王根生
许红玲
王悦
朱慧芬
Wang Gensheng;Xu Hongling;Wang Yue;Zhu Huifen(Department of Gynecology and Obstetrics,Anqing Hospital Affiliated to Anhui Medical University,Anqing 246000,China)
出处
《中国临床保健杂志》
CAS
2018年第5期689-691,共3页
Chinese Journal of Clinical Healthcare
关键词
剖宫产术
再
剖宫产后阴道分娩
妊娠
卵巢
病人安全
Cesarean section
repeat
Vaginal birth after cesarean
Pregnancy
ovarian
Patient safely
