摘要
目的探讨分析疤痕子宫再次妊娠孕妇对分娩方式的合理选择。方法方便选取该院收治的疤痕子宫再次妊娠孕妇300例作为研究对象,病例来源于2015年6月—2017年6月,回顾性分析采用经阴道自然分娩和剖宫产术分娩相关临床资料,比较两种分娩方式的结局情况。结果在300例疤痕子宫再次妊娠孕妇中试产成功率为63.81%;因试产失败改行剖宫产术中有18例为继发性宫缩乏力,有10例自愿放弃试产,有2例出现先兆子宫破裂,有8例出现胎儿窘迫。行剖宫产术为233例,经阴道自然分娩67例,行剖宫产术产妇的分娩出血量(435.18±278.62)m L、产后发热率(24.89%)及住院时间(7.48±0.51)d均明显高于经阴道自然分娩产妇(t=8.633,χ~2=11.364,t=38.818,P<0.05),两种方式的新生儿Apger评分比较差异无统计学意义(t=0.467,P>0.05)。结论疤痕子宫再次妊娠孕妇根据具体情况选择阴道分娩的产后并发症发生率较低,有利于产后恢复,具有较高的临床可行性及应用价值。
Objective To study and analyze the rational selection of scar uterine secondary pregnancy method.Methods 300 cases of delivery women with scar uterine secondary pregnancy admitted and treated in our hospital from June 2015 to June 2017 were selected,and the clinical data of transvaginal natural labor and delivery after the cesarean section were reviewed,and the outcome of the two delivery ways was compared.Results Of 300 cases,the successful rate of trail delivery was 63.81%,and the 18 cases were with secondary uterine inertia due to the failure of trail delivery,and 10 cases volunteered to give up trail delivery,and 2 cases had the threatened rupture of uterus and 8 cases had the fetal distress,and 233 cases used the cesarean section surgery,and 67 cases used the transvaginal natural labor,and the delivery bleeding amount,postprandial fever rate and length of stay in the delivery women with cesarean section surgery were respectively(435.18±278.62)mL,24.89%and(7.48±0.51)d,which were obviously higher than those in the delivery women with transvaginal natural labor(t=8.633,χ2=11.364,t=38.818,P<0.05),and the difference in the Apger score of newborns between the two methods was not obvious(t=0.467,P>0.05).Conclusion The incidence rate of postprandial complications of scar uterine secondary pregnancy method according to the specific conditions of delivery women is lower,which is conducive to recovery after delivery,which is of higher clinical feasibility and application value.
作者
黄玉萍
HUANG Yu-ping(Department of Obstetrics,Wuming Hospital Affiliated to Guangxi Medical University,Nanning,Guangxi,530199 China)
出处
《中外医疗》
2018年第8期31-32,35,共3页
China & Foreign Medical Treatment
关键词
疤痕子宫
再次妊娠
分娩方式
选择
Scar uterine
Secondary pregnancy
Delivery method
Selection
