剖宫产术后再次妊娠经阴道分娩的临床观察  

Clinical observation of vaginal birth after vesarean

作　　者：张丽娟[1] 

机构地区：[1]海门市中医院妇产科,江苏海门226100

出　　处：《中国计划生育和妇产科》2015年第3期38-40,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨剖宫产术后再次妊娠经阴道分娩（vaginal birth after cesarean,VBAC）的可行性。方法选取2010~2012年江苏省海门市中医院98例VBAC孕妇为观察组,选取同期住院的96例初产妇为对照组,分析比较两组产妇在分娩结局、围产儿结局、并发症上的差异。结果观察组分娩成功率[57.1%（56/98）]、分娩时间（9.9±0.6）h、并发症发生率[7.1%（7/98）]、产时出血量（281.9±13.4）m L、新生儿窒息发生率[2.0%（2/98）]、产妇满意率[96.9%（95/98）]等方面与对照组[分别为59.4%（57/96）、（9.7±0.7）h、5.2%（5/96）、（284.5±12.3）m L、3.1%（3/96）、94.8%（91/96）]比较,差异均无统计学意义（P〉0.05）。结论严格按照适应证选择,剖宫产术后瘢痕子宫再次妊娠经阴道分娩是可行的。Objective To observe the feasibility of vaginal birth after cesarean（ VBAC）. Methods 98 cases of pregnant women of VBAC in Haimen Hospital of TCM during 2010 to 2012 were selected as observation group,96 cases of primiparas admitted to hospital during the same period were selected as control group. The outcome of delivery,perinatal outcome and complications were compared between the two groups. Results The success rate of vaginal delivery[57. 1 %（ 56 /98） ],delivery time（ 9. 9 ± 0. 6） h,incidence of complications[7. 1 %（ 7 /98） ],the amount of bleeding（ 281. 9 ± 13. 4） m L,patient satisfaction [96. 9 %（ 95 /98） ],incidence of neonatal asphyxia[2. 0 %（ 2 /98） ]of observation group compared with control group [59. 4 %（ 57 /96）,（ 9. 7 ± 0. 7） h,5. 2%（ 5 /96）,（ 284. 5 ± 12. 3） m L,94. 8 %（ 91 /96）,3. 1 %（ 3 /96） respectively],there were no significant differences（ all P 0. 05）. Conclusion As long as strictly according to the indications of application,it is feasible for pregnant women with scar uterus to conduct vaginal delivery which is worthy of clinical application.

关 键 词：剖宫产 瘢痕子宫 再次妊娠 阴道分娩 

分 类 号：R714[医药卫生—妇产科学]