摘要
目的:探讨疤痕子宫再次妊娠对分娩方式的选择以及经阴道分娩的安全性影响。方法:选用2016年6月~2019年6月某院收治的60例疤痕子宫再次妊娠产妇随机分为对照组和观察组各30例,对照组选择剖宫产,观察组选择阴道分娩,对比两组的分娩结局,分析疤痕子宫再次妊娠经阴道分娩的安全性。结果:与对照组比较,观察组总产程时间较长,出血量较少,住院时间较短,组间差异均有统计学意义(P<0.05),但并发症方面比较差异无统计学意义(P>0.05);两组在新生儿体质量、Apgar评分等新生儿结局比较差异无统计学意义(P>0.05)。结论:疤痕子宫再次妊娠产妇应谨慎选择分娩方式,若符合阴道分娩指征,可先行阴道试产,在此过程中需密切监测产程变化,才能有效提高经阴道分娩的安全性。
Objective:To explore the effect of scarred uterus pregnancy on the choice of delivery mode and the safety of transvaginal delivery.Methods:60 pregnant women with scarred uterus treated in a hospital from June 2016 to June 2019 were selected and randomly divided into control group(30 cases,caesarean section)and observation group(30 cases,transvaginal delivery).The results of delivery were compared between the two groups,and the safety of transvaginal delivery was analyzed.Results:Compared with the control group,the observation group had a long time of labor,less bleeding,and a short time of hospitalization.The difference between the two groups was statistically significant(P<0.05),but there was no significant difference in complications(P>0.05).There was no significant difference in neonatal outcome such as neonatal body quality and Apgar score between the two groups(P>0.05).Conclusion:Scarred uterus pregnant women should carefully choose the mode of delivery,if the indications of vaginal delivery are met,vaginal trial production can be carried out first.In this process,it is necessary to closely monitor the changes in the course of delivery,in order to effectively improve the safety of transvaginal delivery.
作者
刘艳秋
Liu Yanqiu(Department of Gynecology,Pingqiao Maternal and Child Health Hospital,Xinyang City,Henan Province,Xinyang 464100)
出处
《数理医药学杂志》
2020年第10期1463-1464,共2页
Journal of Mathematical Medicine
关键词
疤痕子宫
分娩方式
阴道分娩
安全性
scar uterus
mode of delivery
vaginal delivery
safety
