摘要
目的剖宫产术后瘢痕子宫再次妊娠分娩方式对母婴结局及出血量的影响进行调研和分析。方法方便选择2017年8月—2019年8月该院剖宫产术后瘢痕子宫再次剖宫产分娩的孕妇40例(对照组),同时期该院剖宫产术后瘢痕子宫经阴道分娩的孕妇40例(观察组)。观察并对比两组产妇分娩情况以及新生儿情况。结果观察组产妇住院时间短于对照组,住院费用以及产中出血量少于对照组,差异有统计学意义(P<0.05);观察组产妇产后大出血以及产褥感染率2.50%、0.00%低于对照组12.50%、7.50%(χ21=7.207,χ22=7.792,P<0.05);观察组正常新生儿占比92.50%明显高于对照组72.50%(χ2=13.853,P<0.05)。结论在剖宫产术后瘢痕子宫再次妊娠孕妇分娩时,采用瘢痕子宫阴道分娩方法的临床效果较好。
Objective To investigate and analyze the effects of the method of recurrent pregnancy and delivery of scar uterus after cesarean section on maternal and infant outcomes and bleeding volume.Methods Forty pregnant women with cesarean section delivery after cesarean section in the hospital from August 2017 to August 2019(control group)were conveniently selected.40 pregnant women(observation group).Observe and compare the birth and delivery status of the two groups.Results The length of stay in the observation group was shorter than that in the control group,and the cost of hospitalization and the amount of intrapartum hemorrhage were less than those in the control group(P<0.05).The postpartum hemorrhage and puerperal infection rates in the observation group were 2.50%and 0.00%lower than the control group 12.50%,7.50%(χ21=7.207,χ22=7.792,P<0.05);the proportion of normal newborns in the observation group was 92.50%significantly higher than that in the control group 72.50%(χ2=13.853,P<0.05).Conclusion The scar-uterine vaginal delivery method is effective in the delivery of pregnant women with scar uterus after cesarean section.
作者
胡群
肖丽
HU Qun;XIAO Li(Department of Obstetrics,Success Hospital of Xiamen University(Army Hospital of the 73rd Army Group),Xiamen,Fujian Province,361000 China)
出处
《中外医疗》
2020年第11期67-69,共3页
China & Foreign Medical Treatment
关键词
瘢痕子宫
再次妊娠
分娩方式
母婴结局
Scarred uterus
Second pregnancy
Delivery mode
Mother-infant outcome
