摘要
目的比较剖宫产术后再次妊娠不同分娩方式临床效果差异,探讨合适分娩方式。方法 2015年1月-2018年12月的瘢痕子宫再次妊娠孕妇160名,选择同期该院初产妇160名作为对照人群;孕妇入院后进行详细的全方位检查进行分娩方式评估,实施剖宫产或阴道分娩。结果再次妊娠孕妇阴道试产60名,试产成功50名(83.33%);初产妇160名中实施阴道分娩110名(68.75%,110/160)。两组阴道分娩产程(9.87±2.01)h vs(9.26±1.92)h、产时出血(138.39±30.26)mL vs(131.45±28.48)mL、新生儿Apgar评分(9.14±0.37)分vs(9.18±0.40)分、住院(6.01±1.03)d vs(5.54±0.97)d,差异无统计学意义(t=0.170、0.640、0.280、0.630, P>0.05)。首次妊娠组剖宫产手术时间(55.28±6.34)min、产后出血量(192.33±37.38)mL、下床活动时(30.14±4.36)h、产后首次排气时间(22.28±3.54)h低于再次妊娠组(69.48±7.35)min、(238.34±41.65)mL、(36.22±5.34)h、(27.18±4.76)h,差异有统计学意义(t=3.04、4.18、3.15、2.97, P<0.05)。结论有剖宫产史再次妊娠的孕妇并不是只能再次进行剖宫产,可根据患者实际身体情况以及孕妇的意见,优先选择阴道试产,是合理安全的。
Objective To compare the clinical effects of different delivery methods after re-pregnancy after cesarean section, and to explore the appropriate mode of delivery. Methods From January 2015 to December 2018, 160 pregnant women with scar uterus were re-pregnancy, and 160 patients with primipara in the same period were selected as the control group. After the hospital admission, detailed omni-directional examination was performed to evaluate the delivery mode, and the cesarean section and vaginal delivery was performed. Results Sixty pregnant women with vaginal pregnancy test, 50 cases of successful trial production(83.33%);110 cases of vaginal delivery in 160 cases of primipara(68.75%, 110/160). The two groups of vaginal delivery labor(9.87±2.01) h vs(9.26±1.92) h, intrapartum hemorrhage(138.39 ± 30.26) mL vs(131.45 ± 28.48) mL, neonatal Apgar score(9.14 ± 0.37)points vs(9.18±0.40)points.There was no difference in hospitalization(6.01±1.03) d vs(5.54±0.97) d,the difference was not statistically significant(t=0.170, 0.640, 0.280, 0.630, P>0.05). The time of cesarean section in the first pregnancy group(55.28±6.34) min, the amount of postpartum hemorrhage(192.33±37.38) mL, the time of getting out of bed(30.14±4.36) h, the first exhaust time after birth(22.28 ±3.54) h was lower than again. The pregnancy group(69.48 ±7.35) min,(238.34 ±41.65) mL,(36.22±5.34) h,(27.18±4.76) h was lower than the re-pregnancy group,the difference was statistically significant(t=3.040,4.180, 3.150, 2.970, P<0.05). Conclusion Pregnant women with a history of cesarean section can not only undergo cesarean section again. According to the actual physical condition of the patient and the opinions of pregnant women, it is reasonable and safe to give priority to vaginal trial production.
作者
沈新琴
SHEN Xin-qin(Department of Obstetrics and Gynecology,Luzhi District People's Hospital,Wuzhong District,Suzhou,Jiangsu Province,215127 China)
出处
《系统医学》
2019年第19期92-94,共3页
Systems Medicine
关键词
剖宫产
术后
妊娠
阴道分娩
Cesarean section
Postoperative
Pregnancy
Vaginal delivery
