摘要
目的探究瘢痕妊娠产妇经阴道分娩的可行性。方法选取我院产科2017年1月至2018年4月收治的130例瘢痕妊娠产妇为对象,根据产妇分娩意愿分成剖宫产组和阴道试产组,对比两组的分娩结局。结果阴道试产组分娩成功率95.59%,仅有3例中转剖宫产。两组新生儿体质量、窒息率和出生1 min Apgar评分差异均无统计学意义,P>0.05;两组产妇的产后2 h出血量、产后出血发生率和产后感染率对比,阴道试产组均低于剖宫产组,P<0.05。结论瘢痕妊娠产妇应用阴道分娩是可行的,在严格把握阴道试产适应症,加强围生期的产妇和胎儿监测,规范性应用无痛分娩等技术,进行阴道分娩是可行的,有利于减轻分娩对产妇的创伤,促进产妇产后康复。
Objective to explore the feasibility of transvaginal delivery of scar pregnant women. Methods 130 cicatricial pregnant women admitted by the department of obstetrics of our hospital from January 2017 to April 2018 were selected as the objects, and were divided into cesarean section group and vagina trial group according to the willingness of the women to give birth, and the results of childbirth in the two groups were compared. Results the success rate of childbirth in the vaginal trial group was 95.59%, and only 3 cases were transferred to cesarean section. There was no significant difference in neonatal body mass, asphyxiation rate and 1 min Apgar score between the two groups, P〉0.05. Comparison of postpartum bleeding volume, postpartum bleeding rate and postpartum infection rate between the two groups showed that the vaginal trial group was lower than the cesarean section group P〈0.05. Conclusion vaginal delivery is feasible for pregnant women with scarring. It is feasible to carry out vaginal delivery by strictly grasping the indications of vaginal trichotomy, strengthening the monitoring of parturients and fetuses in the perinatal period, and normalizing the application of painless childbirth and other technologies. It is beneficial to reduce the trauma of childbirth on the puerpera and promote the postpartum recovery.
作者
刘佳佳
LIU Jia-jia(Department Of Obstetrics And Gynecology,Dingxing County Hospital,Baoding,Hebei,07265)
出处
《智慧健康》
2018年第21期145-146,共2页
Smart Healthcare
关键词
瘢痕妊娠
分娩方式
阴道分娩
新生儿
Scar pregnancy
Mode of birth
Vaginal birth
The newborn
