摘要
目的探讨瘢痕子宫再次足月妊娠的分娩方式，降低瘢痕子宫再次妊娠妇女的剖宫产率。方法回顾性分析2008年6月至2011年6月收治的剖宫产后再次妊娠孕产妇186例的临床资料。结果186例瘢痕子宫中，选择性阴道试产98例（52．69％），不符合阴道试产择期行剖宫产者88例（47．31％）。其中阴道分娩77例（78．83％），包括阴道助产4例（4．08％），21例（21．43％）试产失败采用剖宫产。剖宫产指征依次为胎儿窘迫3例，宫缩乏力3例，先兆子宫破裂2例，胎头下降受阻1例，产程延长2例，个人因素10例。结论掌握瘢痕子宫足月妊娠试产的适应证，在严密监护下实行阴道分娩具有较高的可行性。
Objective To investigate the delivery mode of fuIl-term second pregnancy in scarred uterus, so as to reduce the cesarean section rate of pregnant women with scarred uterus. Methods A retrospective analysis of clinical data of 186 cases with second pregnancy after cesarean section from June 2008 to June 2011 was conducted. Results Among 186 cases with scarred uterine,98 cases （52.69%） accepted selective vaginal trial production,88 cases （ 47.31% ） were performed elective cesarean section. Vaginal delivery were selected in 77 cases （ 78.83% ） ,including 4 cases of vaginal assistant delivery （4.08%） ,and 21 cases （ 21.43% ） undergoing cesarean section after a failed trial. The indications of cesarean section were fetal distress in 3 cases, uterine inertia in 3 cases, threatened uterine rupture in 2 cases,blocked descending of fetal head in 1 case,prolonged labor in 2 cases and personal factors in 10 cases. Conclusion It is highly feasible to master the indications of trial delivery of full-term pregnancy and select vaginal delivery under close monitoring.
出处
《中国妇幼健康研究》
2012年第3期398-399,共2页
Chinese Journal of Woman and Child Health Research
关键词
瘢痕子宫
足月妊娠
分娩方式
剖宫产
scarred uterus
full-term pregnancy
delivery mode
cesarean section
