瘢痕子宫再次妊娠选择阴式分娩的临床安全性分析  

Analysis of clinical safety of vaginal delivery on subsequent pregnancy of scar uterus

作　　者：张波兰 邱佑芝 林曼 

机构地区：[1]广东省揭西县人民医院妇产科,广东揭西515400

出　　处：《中国医药科学》2015年第20期61-63,共3页China Medicine And Pharmacy

摘　　要：目的研究瘢痕子宫再次妊娠选择阴式分娩的临床安全性分析。方法回顾性分析我院2014年6月~2015年2月进行再次分娩的瘢痕子宫产妇的临床资料,其中行经阴道试产成功分娩60例（实验组）,将实验组（60例）与同期瘢痕子宫产妇行再次剖宫产68例（对照组A）和同期初产妇行经阴道分娩50例组（对照组B）进行比较,对比分析各组的术中情况、新生儿情况以及产妇并发症情况,观察其临床安全性。结果实验组的产时出血量、住院时间显著低于对照组A（P〈0.05）,实验组的产程时间、产时出血量、住院时间与对照组B均无统计学差异（P〉0.05）;实验组的新生儿Apgar评分、新生儿窒息的发生率与对照组A和对照组B均无统计学差异（P〉0.05）;实验组的并发症发生率与对照组B无显著差异（P〉0.05）,但实验组的并发症发生率显著低于对照组A（P〈0.05）。结论掌握瘢痕子宫产妇阴道试产的禁忌证和适应证,瘢痕子宫再次行阴道分娩成功率较高,产时出血少,住院时间短,产后并发症少,优于再次剖宫产,是一种较为安全、经济、有效的分娩方式。Objective To study the analysis of clinical safety of vaginal delivery on subsequent pregnancy of scar uterus. Methods The clinical data of puerperant with scar uterus, who were delivery again in our hospital from June 2014 to February 2015, were retrospectively analyzed, thereinto, 60 cases were carried out vaginal delivery as experimental group, 68 cases were carried out repeated cesarean section as control group A, while 50 cases of primipara were carried out vaginal delivery control group B. To compare and comparative analyze the intraoperative situation, neonatal statuses, complication situation of puerperant, to observe the clinical safety. Results The intrapartum blood loss, the hospitalization time in experimental group were significantly lower than which in control group A, the differences were statically significant（P〈0.05）. The differences of the labor time, the intrapartum blood loss, the hospitalization time between experimental group and control group B was no statically significant（P〈0.05）, the neonatal Apgar score, the incidence of neonatal asphyxia of experimental group had no statically significant compared with control group A and control group B（P〈0.05）, the complication rate of experimental group had no statically significant compared with control group B（P〈0.05）. While the complication rate in experimental group was significantly lower than which in control group A, the differences was statically significant（P〈0.05）. Conclusion To master the contraindications and the indications of vaginal delivery in puerperant with scar uterus. Vaginal delivery on subsequent pregnancy of scar uterus has higher successful rate, less intrapartum blood loss, shorter hospitalization time, less postpartum complication, is better than repeated cesarean section, is a much safer, economical, effective delivery mode.

关 键 词：瘢痕子宫 妊娠 阴道分娩 安全性 

分 类 号：R714.3[医药卫生—妇产科学]