剖宫产后瘢痕子宫再次妊娠孕产妇阴道产率及其影响因素研究  

Study on Vaginal Birth Rate of Re-pregnant Women with Scar Pregnancy after Cesarean Section and Its Influence Factors

作　　者：熊海燕[1] 付朝霞[1] 杨新凰 黄燕芬[1] 邓玉泉[1] 黄为群[1] XIONG Hai-yan FU Zhao-xia .YANG Xin-huang et al(The People＇s Hospital in Longhua District of Shenzhen City Affiliated to Southern Medical University, Shenzhen 518109, China)

机构地区：[1]南方医科大学附属深圳市龙华区人民医院,广东深圳518109

出　　处：《中国医学创新》2017年第23期145-148,共4页Medical Innovation of China

基　　金：深圳市科创委科技计划项目(JCYJ20150402144905868)

摘　　要：目的:研究分析剖宫产后瘢痕子宫再次妊娠孕产妇阴道产率及其影响因素。方法:选取2016年1-12月的2928例剖宫产后瘢痕子宫再次妊娠孕产妇为研究对象,统计其阴道产率,并将不同年龄、文化程度、居住情况、经济状况、社会支持程度、孕期知识认知度、自身生产认知度、家属对生产知识认知度、顺产紧张度及阴道分娩史者的阴道产率进行比较,采用Logistic回归分析上述因素与阴道产率的关系。结果:2928例剖宫产后瘢痕子宫再次妊娠孕产妇中,阴道产者为861例,阴道产率为29.41%,且不同年龄、文化程度、居住情况、经济状况、社会支持程度、孕期知识认知度、自身生产知识认知度、家属对生产知识认知度、顺产紧张度及阴道分娩史者的阴道产率比较,差异均有统计学意义(P<0.05),经Logistic回归分析显示上述因素均与阴道产有密切的关系(P<0.05)。结论:剖宫产后瘢痕子宫再次妊娠孕产妇阴道产率较低,较多个人及家属因素均可对顺产率造成一定的影响,因此应根据这些因素给予产妇及家属进行针对性的干预。Objective： To study and analyze the vaginal birth rate of re-pregnant women with scar pregnancy after cesarean section and its influence factors.Method： From January 2016 to December 2016, 2928 re-pregnant women with scar pregnancy after cesarean section were selected as the study objects, and their vaginal birth rate were analyzed, vaginal birth rates of pregnant women with different ages, education degree, living situation, economic condition, social support degree, awareness for pregnancy knowledge, self awareness for delivery, awareness of family members for delivery, nervous degree for delivery and vaginal birth history were compared, relationship between those factors and vaginal birth rate were analyzed by Logistic regression analysis.Result： There were 861 cases chose vaginal birth among 2928 pregnant women with scar pregnancy after cesarean section, vaginal birth rate was 29.41%, and the vaginal birth rate of pregnant women with different ages, education degree, living situation, economic condition, social support degree, awareness for pregnancy knowledge, self awareness for delivery, awareness of family members for delivery, nervous degree for delivery and vaginal birth history had significant differences （ P〈0.05 ） .Logistic regression analysis showed that those factors all had close relationship with vaginal birth rate （ P〈0.05 ） .Conclusion： The vaginal birth rate of pregnant women with scar pregnancy after cesarean section is low, and many personal and family factors have influence to vaginal birth rate in some extent, so the pregnant women and their family members should be given targeted intervention according to these factors.

关 键 词：剖宫产后瘢痕子宫 再次妊娠 阴道产 影响因素 

分 类 号：R714.4[医药卫生—妇产科学]