摘要
目的 瘫痕子宫再次妊娠采用阴道分娩虽存在一定的子宫破裂风险,但二次甚至多次剖宫产亦非绝对安全。本研究探讨高龄瘢痕子宫产妇经阴道分娩的安全性,分析其可行性。方法 选择2018-01-01-2019-02-28本院收治的80例高龄瘢痕子宫妊娠足月分娩者作为研究对象,按照实施分娩方式不同分为观察组与对照组,各40例。观察组行经阴道分娩,对照组实施剖宫产术。比较住院时间及产后出血量,统计两组出现的分娩相关不良反应,比较两组新生儿出生情况。结果 观察组住院时间为(3.5±0.4)d,短于对照组的(7.6±1.2)d,t=20.500,P<0.001;产后出血量为(157.5±10.1)mL,少于对照组的(494.7±11.3)mL,t=140.714,P<0.001。观察组不良反应总发生率为2.5%(1/40),低于对照组的22.5%(9/40),χ~2=5.600,P=0.018。观察组新生儿窒息及宫内窘迫的发生率均为2.5%,低于对照组的22.5%,χ~2值均为5.600,P值均为0.018。结论 瘢痕子宫产妇条件允许情况时行经阴道分娩,能有效缩短住院时间,减少产后出血,提高母婴安全。
OBJECTIVE Although vaginal delivery is a certain risk of uterine rupture in the second pregnancy of scar uterus,the second or even multiple cesarean sections are not absolutely safe.This study mainly discusses the safety of vaginal delivery for elderly women with scar uterus and analyzes its feasibility.METHODS From January 1,2018to February 28,2019,a total of 80cases of full-term delivery of elderly scar uterine pregnancy were selected and divided into two groups according to different delivery methods,each with 40cases.The observation group were underwent vaginal delivery while the control group were underwent cesarean section.Then the hospital stay and postpartum hemorrhage were compared,the delivery-related adverse reactions and the birth status of newborns in the two groups were counted.RESULTS The hospitalization time of the observation group was(3.5±0.4)d,shorter than that of the control group(7.6±1.2)d,t=20.500,P<0.001.And the amount of postpartum hemorrhage was(157.5±10.1)ml,less than that of the control group(494.7±11.3)ml,t=140.714,P<0.001.The total incidence of adverse reactions in the observation group was 2.5%(1/40),lower than 22.5%(9/40)in the control group,χ2=5.600,P=0.018.The incidence of neonatal asphyxia and intrauterine distress in the observation group both was 2.5%,lower than 22.5%in the control group,andχ2 values were 5.600,both P=0.018.CONCLUSION If the scar uterus is delivered again,the vaginal delivery can be done when conditions permit,which can effectively shorten the labor process,reduce postpartum hemorrhage,and improve maternal and infant safety.
作者
陈佳苗
冯九香
CHEN Jia-miao;FENG Jiu-xiang(NO.1 Gynecological Ward,Maternal and Child Health Hospital,Dalian116000,P.R.China)
出处
《社区医学杂志》
2019年第13期786-788,共3页
Journal Of Community Medicine
关键词
高龄产妇
瘢痕子宫
经阴道分娩
安全性
可行性
elderly parturient women
scar uterus
vaginal delivery
safety
feasibility
