疤痕子宫经阴道分娩89例临床分析  

A clinical analysis on the mode of delivery in women with scar uterus at term pregnancy

作　　者：刘素婷[1] 张海珍[1] 孙霞[1] 韩娟[1] 高青[1] 翟伟[1] 

机构地区：[1]北京市丰台区铁营医院妇产科,北京100079

出　　处：《临床和实验医学杂志》2017年第14期1446-1449,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨疤痕子宫再次妊娠经阴道分娩的可行性和安全性。方法对2013年4月至2016年4月收治的202例疤痕子宫再次妊娠患者分娩方式进行回顾性分析。其中选择阴道试产89例,选择剖宫产113例,阴道试产率44.06%。结果选择阴道试产的89例试产过程中转剖宫产21例,试产成功率76.40%。疤痕子宫阴道试产组的产后出血量、住院时长、新生儿窒息以及产褥病率比例均显著低于剖宫产组(P<0.05)。结论在良好的产时监护及护理下瘢痕子宫再次妊娠经阴道分娩是安全可行的,不仅能够使产妇免遭手术之苦,还能够有效降低剖宫产与不良母儿结局的发生率,有益于母婴健康。Objective To explore the feasibility and safety of vaginal delivery in patients with scar uterus.Methods A total of 202 pregnant women with scar uterus during April 2013 to April 2016 were allocated for this study.Among them, trial vaginal production had been taken in 89 cases, and cesarean section was taken in 113 cases, with trial vaginal production rate of 44.06%.Results Among 89 cases with trial vaginal production, 21 cases were transferred to cesarean section, with the successful rate of 76.40 % for trial vaginal production.The average postpartum hemorrhage, duration for hospital stay, incidence of neonatal asphyxia and the proportion of puerperal diseases were significantly lower in the ttrial vaginal production group than those of cesarean section group （P〈0.05）.Conclusion Vaginal delivery is feasible in pregnant women with uterine scar under a good guardianship and care.It should be possible to reduce the rate of secondary cesarean section and to encourage patients for vaginal delivery with previous lower uterine segment transverse incision of cesarean section.But it also needs close observation during the process of production, thus it may help to reduce the complications in mother and fetus.

关 键 词：疤痕子宫 妊娠 阴道分娩 剖宫产 

分 类 号：R714.4[医药卫生—妇产科学]