疤痕子宫再次妊娠分娩220例分析  

220 Cases of Re-Deliveries by Scar Uterine

作　　者：余常春 钟克荣 

机构地区：[1]广东省大埔县妇幼保健院,广东大埔514200

出　　处：《中外医疗》2011年第9期4-5,共2页China & Foreign Medical Treatment

摘　　要：目的探讨疤痕子宫再次妊娠不同分娩方式分娩结局对母婴的影响。方法对2009年1月至2009年12月,我院220例疤痕子宫再次妊娠孕妇的分娩方式、分娩结局及母婴并发症进行回顾性分析。结果 220例中32例阴道分娩,188例行再次剖宫产术,术中平均出血量增加,手术时间延长,腹腔粘连和产后出血发生率高,差异有显著性意义。结论瘢痕子宫再次妊娠,分娩方式仍可以选择阴道试产,在掌握好阴道分娩指征、严密监护、病人配合和家属理解的情况下,是可以经阴道分娩的。Objective To study the effect of different delivery ways by the scar uterine on maternal and infants outcomes.Methods Delivery ways,outcome,maternal and infants’complications in 220 cases of re-deliveries by scar uterine were retrospectively reviewed.Results 32 out of 220 cases had vaginal delivery and the other 188 had cesarean section again,There was significant difference of bleeding in operation,abdominal adhesions and postpartum hemorrhage in the cesarean section group.Conclusion Vaginal delivery could be a prior choice for the re-deliveries by scar uterine if the master of vaginal delivery indications,well monitoring, patients’and their families’understanding could be achieved.

关 键 词：瘢痕子宫 再次妊娠 分娩方式 

分 类 号：R719.8[医药卫生—妇产科学]