瘢痕子宫再次妊娠分娩方式对妊娠结局的影响  

Effect of delivery mode of scar uterus with repeated pregnancy on pregnancy outcome

作　　者：林珏莹[1] 

机构地区：[1]广东省揭阳市人民医院妇产科,广东揭阳522000

出　　处：《中国医药科学》2016年第24期88-90,共3页China Medicine And Pharmacy

摘　　要：目的分析瘢痕子宫再次妊娠分娩方式对妊娠结局的影响。方法回顾性分析我院2013年11月-2015年6月收治的180例瘢痕子宫再次妊娠产妇的临床资料,按分娩方式不同分为再次剖宫产组和阴道试产组,各90例,将两组产妇分娩方式及分娩结局进行比较。结果阴道试产组90例产妇中试产成功71例（78.89%）;阴道试产组产后24h出血量和平均住院时间较再次剖宫产组明显降低,差异有统计学意义（P〈0.05）;阴道试产组子宫破裂、新生儿窒息及胎儿宫内窘迫发生率与再次剖宫产组比较,差异无统计学意义（P〉0.05）。结论经阴道分娩和再次剖宫产对瘢痕子宫产妇及围生儿的影响相似,但与再次剖宫产相比,阴道分娩可减少术后24h出血量,缩短平均住院时间;因此,阴道分娩是符合阴道试产条件产妇最好的分娩方式。Objective To analyze the effect of delivery mode of scar uterus with repeated pregnancy on pregnancy outcome. Methods The clinical data of 180 pregnant women of scar uterus with repeated pregnancy in our hospital from November 2013 to June 2015 were retrospectively analyzed.They were divided into repeated caesarean section group and vaginal trial production group by different delivery modes,90 cases in each.The delivery modes and pregnancy outcomes of two groups were compared. Results There was 71 cases（78.89%）of successful trial production among 90 cases of vaginal trial production group.The postpartum 24 h bleeding volume and average hospital stays of vaginal trial production group were significantly decreased compared with repeated caesarean section group（P〈 0.05）.There was no statistical difference on incidence of rupture of uterus,neonatal asphyxia and fetal distress of vaginal trial production group,compared with that of repeated caesarean section group（P 〉 0.05）. Conclusion The effects of vaginal delivery and repeated caesarean section on pregnant women with scar uterus and perinatal infants are similar,but compared with repeated caesarean section,vaginal delivery can decrease postoperative 24 h bleeding volume,and shorten average hospital stays.Therefore,as for pregnant women in accordance with conditions of vaginal trial production,vaginal delivery is the best delivery mode.

关 键 词：瘢痕子宫 分娩方式 妊娠结局 阴道试产 再次剖宫产 

分 类 号：R719.8[医药卫生—妇产科学]