摘要
目的观察瘢痕子宫者再次实行妊娠阴道分娩的临床效果。方法选取我院2017年1月~2018年9月收治的剖宫产瘢痕子宫再次妊娠产妇1695例,随机分成观察组325例、对照组1370例,观察组先行阴道试产,不成功则转为剖宫产,对照组行剖宫产,比较组间术后产妇与新生儿情况。结果观察组阴道分娩成功率为60.0%,共计195例,130例阴道引产失败转为剖宫产;观察组术后出血量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05),组间Apgar评分与新生儿体质量比较,差异无统计学意义(P>0.05);观察组产妇并发症发生率明显少于对照组,差异有统计学意义(P<0.05),观察组新生儿并发症发生率与对照组比较,差异无统计学意义(P>0.05)。结论若符合各项适应证,瘢痕子宫再次妊娠者实行阴道分娩是可行的,并发症少,安全性高。
Objective To observe the clinical effect of vaginal delivery on secondary pregnancy of women with scarred uterus.Methods 1695 parturient women with secondary pregnancy of scarred uterus who were admitted and treated in our hospital from January 2017 to September 2018 were selected.They were randomly divided into the observation group with 325 cases and the control group with 1370 cases.In the observation group,vaginal trial delivery was performed first,and cesarean section was performed if the vaginal trial was unsuccessful.The control group was given cesarean section.Postoperative parturient and neonatal conditions were compared between the two groups.Results In the observation group,the success rate of vaginal delivery was 60.0%,including 195 cases.There were 130 cases of vaginal delivery failure into cesarean section.The postoperative blood loss of the observation group was less than that of the control group and the hospital stay was shorter than that of the control group.The difference was statistically significant(P<0.05).There was no significant difference in the Apgar score and the body weight of newborns between two groups(P>0.05).The incidence of maternal complications in the observation group was significantly lower than that in the control group and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of neonatal complications between the observation group and the control group(P>0.05).Conclusion Vaginal delivery is feasible for women with secondary pregnancy of scarred uterus if the indications are met.It has few complications and high safety.
作者
张圳妙
韦艳艳
范绮贤
ZHANG Zhenmiao;WEI Yanyan;FAN Qixian(Zhaoqing First People’s Hospital,Zhaoqing 526000,China)
出处
《中国医药科学》
2019年第19期109-111,共3页
China Medicine And Pharmacy
关键词
瘢痕子宫再次妊娠
阴道分娩
阴道试产
剖宫产
Secondary pregnancy of women with scarred uterus
Vaginal delivery
Vaginal trial delivery
Cesarean delivery
