摘要
目的分析瘢痕子宫产妇再次妊娠经阴道试产分娩的可行性与相应的影响因素。方法选取2018年4月~2019年2月本院分娩的瘢痕子宫再次妊娠产妇300例为研究对象;按照随机数字表法结合自愿原则将产妇分成对照组与观察组,每组各150例;对照组予以常规围产期保健及指导措施,观察组在对照组基础上联用体重控制方案,分析组间单因素及多因素结果。结果观察组分娩时间、住院时间均显著缩短于对照组(P<0.05);观察组产前BMI、产时出血量均显著低于对照组(P<0.05);观察组并发症发生率稍低于对照组(P>0.05);A组阴道试产时间均<7h,B组阴道试产时间≥7h者111例、<7h者27例,组间数据比较存在显著性差异(P<0.05);A组妊娠期间母体增加体重<15kg、15~20kg、>20kg与B组间比较,数据存在显著性差异(P<0.05);瘢痕子宫产妇再次妊娠行阴道试产可行性Logistic回归分析多因素包括阴道试产时间、妊娠期间母体增加重量、产时出血量、产前BMI(P<0.05)。结论瘢痕子宫产妇再次妊娠时开展阴道试产存在一定的可行性,阴道试产时间、妊娠期间母体增加体重、产时出血量及产前BMI均为阴道试产可行性的影响因素。
Objective To analyze the feasibility and corresponding influencing factors of vaginal trial production for second pregnancy in the puerpera with scarred uterus. Methods A total of 300 puerpera with scarred uterus who delivered the second time in our hospital from April 2018 to February 2019 were selected as subjects. According to the random number table method combined with the voluntary principle, the puerpera were divided into the control group and the observation group, with 150 cases in each group;the control group was given measures such as routine perinatal care and guidance. The observation group was further given weight control protocol on the basis of the control group. The single-factor and multi-factor results were analyzed between groups. Results The delivery time and length of hospital stay in the observation group were significantly shorter than those in the control group(P<0.05);the prenatal BMI and intrapartum hemorrhage volume in the observation group were significantly lower than those in the control group(P<0.05);the incidence rate of complications in the observation group was slightly lower than that in the control group(P>0.05);the time of vaginal trial production in group A was <7 h. There were 111 cases in group B with vaginal trial production time ≥7 h and 27 cases with the time <7 h. There were statistically significant differences between the groups(P<0.05);there were statistically significant differences in the gains of maternal body weight <15 kg, 15-20 kg and >20 kg in the group A compared with the group B during pregnancy(P<0.05). According to the Logistic regression analysis, the multiple factors for the vaginal trial production for second delivery in the puerpera with scarred uterus included vaginal trial delivery time, maternal weight gain during pregnancy, intrapartum hemorrhage, and prenatal BMI(P<0.05). Conclusion It is feasible to carry out vaginal trial production for second delivery in the puerpera with scarred uterus. The time of vaginal trial production, maternal weight
作者
李剑红
吴晓玲
LI Jianhong;WU Xiaoling(Department of Gynecology and Obstetrics, Heshan People's Hospital in Guangdong Province, Heshan 529700, China)
出处
《中国现代医生》
2019年第17期63-66,共4页
China Modern Doctor
基金
广东省江门市卫生计生局科研立项项目(18A062)
关键词
瘢痕子宫
再次妊娠
阴道试产
影响因素
Scarred uterus
Second pregnancy
Vaginal trial production
Influencing factors
