摘要
目的:探讨剖宫产术后瘢痕子宫足月妊娠合理的分娩方式。方法:回顾性分析2014年7月至2017年6月龙川县妇幼保健院收治的103例剖宫产术后瘢痕子宫足月妊娠分娩孕妇的临床资料。选取同期53例首次剖宫产孕妇作为对照组。分析观察组孕妇再次妊娠后的分娩方式、并发症和分娩结局,包括手术时间、产后出血、住院时间和新生儿窒息等情况。结果:50例经阴道分娩、53例再次剖宫产结束分娩。阴道分娩者产后出血少,住院时间短,住院费用低;阴道试产成功率66.7%,再次剖宫产组出血量和平均住院时间高于瘢痕子宫阴道分娩组(P<0.05)。结论:剖宫产术后瘢痕子宫足月妊娠者应尽力提供阴道试产机会;有明显剖宫产指征应尽早手术结束分娩。
Objective:To investigate the rational delivery methods of full-term pregnancy with uterine scar after cesarean section.Methods:The clinical data of 103 cases of full-term pregnancy with uterine scar after cesarean section in the Longchuan County Maternal and Children’s Hospital between July 2014 and June 2017 were retrospectively analyzed.A contemporary cohort of 53 cases of primary cesarean section(PCS) was included as the control group.The delivery mode,complications and delivery outcomes of secondary pregnancy in the study group were determined,including the operative time,postpartum hemorrhage,length of stay(LOS),and neonatal asphyxia.Results:Fifty patients underwent vaginal delivery,and fifty-three patients underwent repeated cesarean section(RCS) to complete the delivery.The patients who underwent vaginal delivery showed less postpartum hemorrhage,shorter LOS,and lower hospitalization costs.The success rate of attempted virginal labor was 66.7%.The blood loss and average LOS in the RCS group were significantly higher than those in the uterine scar-vaginal delivery group(P<0.05).Conclusions:In full-term pregnant women with uterine scar after cesarean section,virginal labor should be attempted as possible.In those obviously indicated for cesarean section,the procedure should be performed early to complete the delivery.
作者
黄春红
钟建芳
叶雄娟
Huang Chunhong;Zhong Jianfang;Ye Xiongjuan(Longchuan County Maternal and Children’s Hospital,Heyuan,Guangdong 517300,China)
出处
《广州医科大学学报》
2018年第3期69-70,74,共3页
Academic Journal of Guangzhou Medical University
关键词
分娩
妊娠
子宫瘢痕
剖宫产术后
临床分析
Delivery
pregnancy
uterine scar
postoperative cesarean section
clinical analysis
