剖宫产后阴道分娩与非瘢痕子宫阴道分娩的临床分析  

Clinical Analysis of Vaginal Delivery after Cesarean Section and Non-scar Uterus Vaginal Delivery

作　　者：沈海川[1] 孙波[1] SHEN Haichuan;SUN Bo(Lianyungang Maternal and Child Health Hospital,Lianyungang 222000,China)

机构地区：[1]连云港市妇幼保健院

出　　处：《中外医学研究》2019年第31期149-151,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:对剖宫产后阴道分娩与非瘢痕子宫阴道分娩进行临床分析。方法:选取笔者所在医院2018年7-12月剖宫产后再次妊娠行阴道分娩产妇50例作为研究组,选取同期非瘢痕子宫行阴道分娩产妇50例作为对照组,对比两组产程时间、产后出血量、产后住院时间、中转剖宫产率和新生儿结局等。结果:研究组产程时间(11.25±2.31)h、产后出血量(257.22±31.25)ml、产后住院时间(3.7±1.2)d、Apgar评分(8.96±1.01)分、产后出血率8.0%、产后感染率4.0%、新生儿窒息率6.0%、新生儿感染率2.0%与对照组比较,差异均无统计学意义(P>0.05)。研究组中转剖宫产率(26.0%)高于对照组(10.0%),差异有统计学意义(P<0.05)。结论:剖宫产后瘢痕子宫患者行阴道试产安全可行,但要严格掌握适应证和禁忌证,必要者应及时中转剖腹,以保证母婴安全。Objective: To analyze vaginal delivery after cesarean section and non-scar uterus vaginal delivery. Method: A total of 50 puerpera who had vaginal delivery after cesarean section in our hospital from July to December 2018 were selected as the study group, and 50 non-scar uterus puerpera who had vaginal delivery during the same period were selected as the control group. The labor time, postpartum hemorrhage, postpartum hospital stay, transit cesarean section rate and neonatal outcomes were compared between the two groups. Result: The labor time was(11.25±2.31) h, postpartum hemorrhage was(257.22±31.25) ml, postpartum hospital stay was(3.7±1.2) d, Apgar score was(8.96±1.01) points, postpartum hemorrhage rate of 8.0%, postpartum infection rate of 4.0%, neonatal asphyxia rate of 6.0% and neonatal infection rate of 2.0% of the study group were compared with those of the control group, and the differences were not statistically significant(P>0.05). The rate of transit cesarean section of the study group(26.0%) was higher than that of the control group(10.0%), and the difference was statistically significant(P<0.05). Conclusion: Vaginal trial delivery is safe and feasible for patients with scar uterus after cesarean section, but the indications and contraindications should be strictly controlled. If necessary, the laparotomy should be transferred in time to ensure maternal and infant safety.

关 键 词：剖宫产 阴道分娩 非瘢痕子宫 

分 类 号：R71[医药卫生—妇产科学]