瘢痕子宫再次妊娠阴道分娩25例临床分析  

Clinical analysis of 25 scarred uterus re-pregnancy by vaginal delivery cases

作　　者：谢文燕[1] 付秀虹[1] 崔利娜[1] 白爱红[1] 

机构地区：[1]漯河市中心医院,462000

出　　处：《中国实用医药》2015年第16期46-48,共3页China Practical Medicine

摘　　要：目的探讨瘢痕子宫再次妊娠阴道分娩的可行性及安全性。方法 25例瘢痕子宫再次妊娠经阴道分娩的孕妇作为观察组,同期入院的30例非瘢痕子宫经阴道分娩的孕妇作为对照组,所有孕妇均为自然临产,比较两组产程时间、产时出血量、新生儿Apgar评分、新生儿体重、会阴侧切率、住院时间。结果两组孕妇产程时间、产时出血量、新生儿Apgar评分及出院时间相似,差异无统计学意义(P>0.05);观察组的新生儿体重低于对照组,会阴侧切率高于对照组,差异有统计学意义(P<0.05)。结论在严密监护,具备随时抢救、手术的条件下,符合阴道试产条件的瘢痕子宫孕妇可行阴道分娩。Objective To investigate feasibility and safety of scarred uterus re-pregnancy by vaginal delivery. Methods There were 25 pregnant women with scarred uterus re-pregnancy by vaginal delivery as observation group, and another 30 pregnant women with non-scarred uterus re-pregnancy by vaginal delivery at the same period as control group. All patients had natural labor, and their labor time, intrapartum bleeding volume, neonatal Apgar score, neonatal weight, episiotomy rate, and hospital stay were compared. Results The differences of labor time, intrapartum bleeding volume, neonatal Apgar score, and hospital stay between the two groups had no statistical significance （P〉0,05）. The observation group had lower neonatal weight and higher episiotomy rate than the control group, and their difference bad statistical significance （P〈0.05）. Conclusion Vaginal delivery can be taken by scarred uterus patients with eligible indication, with close monitoring and timely rescue and operation.

关 键 词：瘢痕子宫 阴道分娩 安全性 

分 类 号：R714.22[医药卫生—妇产科学]