瘢痕子宫再妊娠分娩方式的选择  

Choices of Delivery Ways of Women with Scarred Uterus and Repeated Pregnancy

作　　者：周顺清 

机构地区：[1]湖南省株洲龙头铺医院,湖南株洲412006

出　　处：《中国医学创新》2012年第36期61-63,共3页Medical Innovation of China

摘　　要：目的:探讨瘢痕子宫再妊娠阴道分娩的可行性。方法:对本院收治瘢痕子宫住院分娩的孕产妇174例的临床资料进行回顾性分析,并随机抽取同期非瘢痕子宫孕产妇资料进行比较。结果:经阴道分娩58例,分娩率为33.33%,成功率为69.88%;再次剖宫产116例。瘢痕子宫阴道分娩组在产后出血量、住院天数、新生儿窒息率明显低于再次剖宫产组(P<0.05);再次剖宫产组在产后出血量、手术时间、切口乙级愈合率均高于首次剖宫产组(P<0.05);新生儿窒息率与首次剖宫产相当(P>0.05);瘢痕子宫与非瘢痕子宫阴道分娩组产程时间、产后出血量、手术助产率、新生儿窒息率相当(P>0.05)。结论:瘢痕子宫孕产妇,只要符合阴道试产条件,严密监护下阴道试产是安全可行的。Objective：To discuss the feasibility of vaginal delivery with scarred uterus and repeated pregnancy.Method：Select 174 cases of repeated pregnant women with scarred uterus,who delivery in our hospital,and random selected the pregnancy women with no scarred uterus on the same period to compare.Result：58 cases of vaginal delivery,the delivery rate was 33.33%,the success ratio was about 69.88%.116 cases of cesarean section.the group of vaginal delivery with scarred uterus in postpartum hemorrhage volume,hospital stay,neonatal asphyxia rate was lower than that the group of secondary cesarean section（P0.05）;the group of secondary cesarean section in postpartum hemorrhage volume、operative time、incision healing was all higher than the group of first cesarean section（P0.05）The neonatal asphyxia rate was same as the group of first cesarean section（P0.05）;There was no difference in labor time、postpartum hemorrhage volume、surgical delivery rate、neonatal asphyxia rate between the group of vaginal delivery women with scarred uterus and the group of vaginal delivery women with no scarred uterus.Conclusion：Pregnant women with scarred uterus as long as met conditions of the vaginal trial delivery.Intensive care of vaginal delivery is safe and feasible.

关 键 词：瘢痕子宫 再妊娠 分娩方式 

分 类 号：R719.8[医药卫生—妇产科学]