摘要
目的探讨剖宫产术后瘢痕子宫再次妊娠的分娩方式的选择。方法回顾性分析2018年3月—2019年6月期间该院收治的2234例产妇的临床资料,其中,初次阴道分娩(对照A组)986例,二次剖宫产(对照B组)311例,剖宫产后阴道分娩(观察组)937例。比较3组产妇分娩情况。结果对照A组与观察组经阴道分娩情况均良好,差异无统计学意义(P>0.05)。观察组与对照B组产妇均无一例发生子宫破裂等严重不良事件。观察组产后出血量较对照B组减少[(213.66±49.85)mL vs(416.95±76.80)mL],住院时间也较对照B组缩短[(1.43±0.40)d vs(4.42±0.95)d],差异有统计学意义(t=53.797、77.817,P<0.05)。结论熟知前次剖宫产的孕周、指征、手术方式、产程及产褥经过等,并且在高年资产科经验丰富的医师指导下进行(提高产房医师级别)剖宫产后试产,相当比例的产妇能够经阴道安全完成分娩。
Objective To explore the selection of delivery methods for re-pregnancy with scarred uterus after cesarean section.Methods The clinical data of 2234 parturients admitted to the hospital from March 2018 to June 2019 were retrospectively analyzed.Among them,986 cases were first vaginal delivery(control group A)and 311 cases were second cesarean section(control group B),937 cases of vaginal delivery after cesarean section(observation group).Compare the delivery conditions of the three groups.Results The control group A and the observation group had good delivery conditions for vaginal delivery,and the difference was not statistically significant(P>0.05).There was no serious adverse event such as uterine rupture in the observation group and the control group B.The postpartum hemorrhage of the observation group was reduced compared with the control group B[(213.66±49.85)mL vs(416.95±76.80)mL],the length of hospital stay was also shorter than that of the control group B[(1.43±0.40)d vs(4.42±0.95)d],the difference was statistically significant(t=53.797,77.817,P<0.05).Conclusion Familiar with the gestational week,indications,surgical methods,labor process and puerperal process of the previous cesarean section,and perform trial delivery after cesarean section under the guidance of experienced physicians in the senior asset department,a considerable proportion of mothers can safely complete delivery through the vagina.
作者
何美红
HE Mei-hong(Department of Obstetrics and Gynecology,Fifth People's Hospital of Longgang District,Shenzhen,Guangdong Province,518111 China)
出处
《中外医疗》
2021年第2期71-73,共3页
China & Foreign Medical Treatment
关键词
剖宫产
再次妊娠
回顾性分析
阴道分娩
瘢痕子宫
产后并发症
Cesarean section
Second pregnancy
Retrospective analysis
Vaginal delivery
Scarred uterus
Postpartum complications
