剖宫产后瘢痕子宫再次妊娠分娩方式的临床分析  

Clinical analysis of the mode of delivery of scar uterus after cesarean section

作　　者：余平平[1] Yu Pingping(Department of Obstetrics and Gynecology,Jiujiang Maternal and Child Care Centres,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市妇幼保健院妇产科

出　　处：《当代医学》2019年第32期71-72,共2页Contemporary Medicine

摘　　要：目的分析剖宫产后瘢痕子宫再次妊娠的分娩方式。方法选取2017年2月至2018年9月本院收治80例剖宫产后瘢痕子宫再次妊娠孕妇对其临床资料进行回顾性分析。将其中二次分娩选择剖宫产的55例孕妇作为实验组A,将二次分娩选择阴道分娩的25例孕妇作为实验组B;并随机选择同期收治的50例非瘢痕子宫阴道分娩孕妇作为对照组。对3组孕妇分娩结局进行观察比较。结果全部80例剖宫产瘢痕子宫再次妊娠孕妇中,35例孕妇接受阴道试产,其中25例成功,阴道试产成功率为71.4%(25/35);55例孕妇的二次分娩选择剖宫产,剖宫产率为68.8%(55/80)。在产褥病发生率、出血量、住院时间方面,实验组B均显著优于实验组A(P<0.05);在新生儿出生Apgar评分方面,实验组A、实验组B比较差异无统计学意义。在产褥病发生率、出血量、住院时间以及新生儿Apgar评分方面,实验组B与对照组比较差异无统计学意义。结论对于剖宫产后瘢痕子宫再次妊娠孕妇来讲,通过对产程进行严密监测,并对经阴道分娩的指征进行严格把握,经阴道分娩是可行和安全的。Objective To analyze the mode of delivery of scar pregnancy after cesarean section.Methods 80 pregnant women with scar uterus and second pregnancy after cesarean section were treated in our hospital from February 2017 to September 2018.Their clinical data were retrospectively analyzed.55 pregnant women with cesarean section were selected for second delivery as experiment group A and 25 pregnant women with vaginal delivery as experiment group B.50 pregnant women with non-scar uterine-vaginal delivery were selected as control group,and the outcome of delivery was observed and compared.Results Among all 80 cases of cesarean scar uterus pregnancy,35 cases of pregnant women accepted vaginal trial delivery,of which 25 cases were successful,the success rate of vaginal trial delivery was 71.4%(25/35);55 cases of pregnant women chose cesarean section for the second delivery,the cesarean section rate was 68.8%(55/80).In terms of puerperal morbidity,blood loss and length of hospital stay,experiment group B was significantly better than experiment group A(P<0.05);there was no significant difference in Apgar score at birth between experiment group A and experiment group B.There was no significant difference between the experimental group B and the control group in terms of puerperal morbidity,blood loss,hospitalization time and Apgar score.Conclusion For pregnant women with scar uterus after cesarean section,vaginal delivery is feasible and safe through strict monitoring of the labor process and strict control of the indications of vaginal delivery.

关 键 词：剖宫产 瘢痕子宫 再次妊娠 分娩方式 

分 类 号：R71[医药卫生—妇产科学]