摘要
目的研究探讨瘢痕子宫再次妊娠分娩方式的选择及经阴道分娩安全性的临床研究。方法将2019年1月-2021年1月在本科室接受治疗的瘢痕子宫再次妊娠产妇300例作为研究的对象,随机分为对照组和观察组。对照组221例患者进行剖宫产分娩方式;观察组79例患者进行阴道分娩方式。观察对比两组产妇分娩后的情况。结果与对照组相比,观察组的新生儿Apgar评分指标更佳,观察组患者的术后出血量、恶露持续时间以及住院时间等指标更低(P<0.05);观察组患者的并发症发生率更低(P<0.05)。结论瘢痕子宫再次妊娠分娩具有一定风险,采用阴道分娩作为瘢痕子宫再次妊娠分娩方式安全性更高,医生要明确阴道分娩指征。阴道分娩对产妇机体伤害较小,生产时出血较少,对母婴不利影响较小,很大程度上降低了并发症的发生风险,非常具有临床价值,值得推荐。
Objective To study the selection of the delivery mode of scar uterus and the safety of vaginal delivery.Methods Three hundred cases of re-pregnant women with scarred uterus who received treatment in the undergraduate room from January 2019 to January 2021 were taken as the research objects,and they were randomly divided into a control group and an observation group.In the control group,221 patients underwent planing delivery.Observation group 79 patients underwent vaginal delivery.Observation and comparison of the two groups of puerpera after delivery.Results Compared with the control group,the neonatal Apgar score in the observation group was better,and the postoperative bleeding volume,duration of lochia and hospital stay in the observation group were lower(P<0.05).The incidence of complications in the observation group was lower(P<0.05).Conclusion Scarred uterus re-pregnancy and childbirth have certain risks.Using vaginal delivery as the method of scarred uterus re-pregnancy and childbirth is safer.Doctors should clarify the indications of vaginal childbirth.Vaginal delivery has less harm to the maternal body,less bleeding during delivery,less adverse effects on mothers and infants,and greatly reduces the risk of complications.It is of great clinical value and is worthy of recommendation.
作者
余虹云
YU Hongyun(Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou,Jiangsu 215100)
出处
《智慧健康》
2022年第7期32-34,共3页
Smart Healthcare
关键词
瘢痕子宫
再次妊娠
阴道分娩
安全性
Scar uterus
Second pregnancy
Vaginal delivery
Security
