瘢痕子宫再次妊娠分娩方式的选择及经阴道分娩结局的临床分析  

Clinical study on choice of the modes of delivery for the parturients with scarred uterus and the outcome of vaginal delivery

作　　者：陈伟萍[1] 黄泳华[1] 张群[1] CHEN Wei-ping, HUANG Yong-hua, ZHANG Qun.(Department of Obstetrics, Jiangmen Central Hospital, Guangdong 529000, China)

机构地区：[1]江门市中心医院产科,广东529000

出　　处：《中国临床新医学》2018年第10期1012-1014,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的分析瘢痕子宫产妇不同分娩方式的母婴结局和经阴道分娩的安全性。方法选取2014-03～2017-03该院瘢痕子宫产妇422例,按照分娩方式的不同分为剖宫产组与阴道分娩组,其中阴道分娩组210例,剖宫产组212例,对阴道试产成功率、两组产妇的产后出血量、住院天数、新生儿Apgar评分及新生儿体重进行统计学分析。结果阴道分娩组试产成功率为80. 77%。阴道分娩组产妇出血量少于剖宫产组,住院时间显著短于剖宫产组,差异有统计学意义(P <0. 05)。两组新生儿Apgar评分比较差异无统计学意义(P> 0. 05)。结论瘢痕子宫产妇在严格控制阴道分娩指征下通过阴道分娩成功率高,且安全性良好。Objective To study the choice of the modes of delivery for the parturients with scarred uterus and the outcome of vaginal delivery. Methods 422 cases with scarred uterus were collected in our hospital from March 2014 to March 2017, and were divided into the cesarean section group（ n =210） and the vaginal delivery group（ n =212） according to the modes of delivery. The rate of trial vaginal delivery, the amount of postpartum hemorrhage, the days of hospitalization, the Apgar scores of the newborns and the weight of the newborns were statistically analyzed and compared between the two groups. Results The successful rate of trial production in vaginal delivery group was 80.77%. The amount of bleeding in the vaginal delivery group was significantly less than that in the cesarean section group（ P 〈0.05）, and the time of hospitalization in the vaginal delivery group was significantly shorter than that in the caesarean section group（ P 〈0.05）. There were no significant differences in the Apgar scores between the two groups（ P 〉0.05）. Conclusion The successful rate of vaginal delivery is high. It is safe for the pregnant women with scarred uterus to deliver vaginally under the strict control of delivery indications.

关 键 词：瘢痕子宫 阴道分娩 剖宫产 

分 类 号：R719.8[医药卫生—妇产科学]