摘要
目的研究前次剖宫产后瘢痕子宫再次妊娠患者晚期妊娠结局及危险因素分析。方法选取2014年9月至2016年9月该院分娩的孕妇117例,其中瘢痕子宫再次妊娠的孕妇60例作为试验组,同期非瘢痕子宫再次妊娠的孕妇有57例为对照组。统计两组孕妇的年龄、孕周、孕次、孕期体质量增加情况、妊娠晚期并发症,以及新生儿等相关资料,比较两组孕妇的妊娠方式、分娩期、产褥期并发症,分析瘢痕子宫再次妊娠患者晚期妊娠结局及其危险因素。结果与对照组相比,试验组孕妇剖宫生产率明显偏高,且试验组孕妇的胎盘早剥率较高,差异有统计学意义(P<0.05)。此外,试验组子宫破裂率、产后出血率、产褥感染发生率明显高于对照组,差异有统计学意义(P<0.05)。两组患者的新生儿出生后1、5、10min阿氏评分及新生儿窒息发生率差异无统计学意义(P>0.05)。结论前次剖宫产瘢痕子宫的孕妇再次妊娠分娩的方式多为剖宫产,且瘢痕子宫孕妇再次妊娠时更容易发生前置胎盘、胎盘早剥等,分娩时更易出现子宫破裂、产后出血等危险症状,分娩危险系数加大。
Objective To study the outcome of advanced pregnancy in patients with posterior cesarean section and to analyze the risk factors.Methods A total of 117 pregnant women were enrolled in the hospital from September 2014 to September 2016,of which 60 were pregnant women with scarring uterine pregnancy.As a test group,there were 57 pregnant women who were pregnant again with non-scar uterine pregnancy group.The age,gestational age,gestational age,gestational weight gain index,late pregnancy complications and neonatal and other related data were analyzed.The pregnancy patterns,childbirth and puerperium complications,late pregnancy outcome and risk factors of the two groups were compared.Results Compared with the control group,the cesarean section of pregnant women in the experimental group was significantly higher than that in the control group,and the placental abruption rate was higher in the pregnant group(P<0.05).In addition,the results showed that the incidence of uterine rupture and postpartum hemorrhage and puerperal infection were significantly higher in the trial group than in the control group(P<0.05).There was no significant difference in the incidence rate of neonatal asphyxia between 1 minute,5 minutes and 10 minutes after birth,and there was no significant difference between the two groups(P>0.05).Conclusion The previous cesarean section of the uterus of pregnant women pregnant again pregnant way more than a cesarean section,and scar pregnant women pregnant again more prone to placenta previa,placental abruption,childbirth more prone to uterine rupture,postpartum hemorrhage such as dangerous symptoms,increased risk of childbirth.
作者
巴哈尔古丽.阿不来提
迪里达尔.玉山
Bahaerguli·Abulaiti;Dilidaer·Yushan(Department of Obstetrics and Gynecology,Second People′s Hospital,Kashi District,Xinjiang Uygur Autonomous Region 844000,China)
出处
《检验医学与临床》
CAS
2018年第8期1083-1085,共3页
Laboratory Medicine and Clinic
关键词
瘢痕子宫
前次剖宫产史
晚期妊娠
scar of the uterus
previous cesarean section history
late pregnancy
