剖宫产术后再次妊娠及非瘢痕子宫再次妊娠的围产结局分析  

Analysis on perinatal outcomes in non-scarred uterus and scarred uterus after cesarean section

作　　者：周丽 方娜[2] ZHOU Li;FANG Na(Maternal and Child Health Care Hospital of Tongzhou District,Beijing,101101,China)

机构地区：[1]北京市通州区妇幼保健院,北京101101 [2]北京复兴医院,北京100045

出　　处：《中国妇幼保健》2018年第20期4579-4581,共3页Maternal and Child Health Care of China

摘　　要：目的分析剖宫产术后再次妊娠和非瘢痕子宫再次妊娠的围产结局,为临床合理选择分娩方式提供参考。方法回顾性分析120例产妇临床资料,其中剖宫产术后再次妊娠者58例为观察组,非瘢痕子宫再次妊娠者62例为对照组。记录两组产妇围产结局和分娩后恢复效果,比较不同分娩方式产妇手术及术后恢复效果。结果观察组不良妊娠结局发生率高于对照组,其中胎膜早破、新生儿窒息及脐带绕颈发生率两组差异有统计学意义(P<0.05)。观察组产程较对照组显著延长,差异有统计学意义(P<0.05);产中出血、住院时间及产后恶露持续时间均显著高于对照组,差异有统计学意义(P<0.05)。经阴道分娩组不良妊娠结局发生率低于剖宫产组,其中胎膜早破发生率两组差异有统计学意义(P<0.05)。经阴道分娩产妇产中出血、住院时间及产后恶露持续时间显著少于剖宫产组产妇,差异有统计学意义(P<0.05)。结论剖宫产术后再次妊娠较非瘢痕子宫再次妊娠不良妊娠结局风险显著增加。阴道分娩有助于产妇术后早期恢复,阴道试产有助于分娩方式的合理选择。Objective To analyze the perinatal outcomes in non-scarred uterus and scarred uterus after cesarean section,provide a reference for reasonable selection of delivery modes. Methods The clinical data of 120 pregnant women was retrospectively analyzed,then the pregnant women were divided into observation group（ 58 cases with scarred uterus after cesarean section） and control group（ 62 cases with non-scarred uterus after cesarean section）. The perinatal outcomes and recovery effects after delivery in the two groups were recorded. The surgical effects and postoperative recovery of pregnant women undergoing different delivery modes were compared. Results The incidence rate of adverse pregnancy outcomes in observation group was higher than that in control group,there were statistically significant differences in the incidence rates of premature rupture of fetal membranes,neonatal asphyxia,and umbilical cord around the neck between the two groups（ P〈0. 05）. The duration of labor in observation group was statistically significantly longer than that in control group（ P 0. 05）. The amount of intraoperaive blood loss,hospitalization time,and duration of postpartum lochia in observation group were statistically significantly higher than those in control group（ P〈0. 05）. The incidence rate of adverse pregnancy outcomes in vaginal delivery group was lower than that in cesarean section group,there was statistically significant difference in the incidence rate of premature rupture of fetal membranes between the two groups（ P〈0. 05）. The amount of intraoperaive blood loss,hospitalization time,and duration of postpartum lochia in vaginal delivery group were statistically significantly lower than those in control group（ P〈0. 05）. Conclusion Compared with cases with non-scarred uterus after cesarean section,the risk of adverse perinatal outcome increases significantly in cases with scarred uterus after cesarean section. Vaginal delivery can promote postoperative early recovery,vaginal trial product

关 键 词：剖宫产 再次妊娠 非瘢痕子宫 围产结局 

分 类 号：R714.1[医药卫生—妇产科学]