剖宫产术后再次妊娠阴道分娩的临床指征可行性探讨  

Feasibility Study on Clinical Indications of Vaginal Delivery after Cesarean Section

作　　者：陶中娥[1] 王得玲[1] Tao Zhong(Tian jin First Central Hospital,Tianjin 300190)

机构地区：[1]天津市第一中心医院,天津300190

出　　处：《黑龙江医药》2020年第6期1405-1407,共3页Heilongjiang Medicine journal

摘　　要：目的:探讨剖宫产术后再次妊娠产妇经阴道分娩的可行性及临床指征。方法:对我院65例曾行剖宫产术的瘢痕子宫产妇进行回顾性分析,设为瘢痕组,同期选择正常子宫妊娠产妇70例(正常组)进行对比。瘢痕组均试行阴道分娩,正常组均经阴道分娩。分别比较两组产时出血量、产后出血量、产程时长、新生儿Apgar评分等。结果:瘢痕组试产成功60例,成功率92.31%;分娩过程中无子宫不全破裂,阴道助产3例。结论:瘢痕组阴道分娩成功病例中,患儿体重最大3.5kg,最小2.4kg。分娩过程中动态监测子宫下段厚度,第一产程中若低于3mm时果断终止阴道试产,采用剖宫产。Objective: To investigate the feasibility and clinical indications of vaginal delivery in repregnancy women after cesarean section. Methods: 65 cases of pregnant women with scar uterus who had undergone cesarean section in our hospital were retrospectively analyzed,set as scar group,70 cases of pregnant women with normal uterus( normal group) were selected for comparison in the same period. Vaginal delivery was tried in scar group and vaginal delivery in normal group. Blood loss during labor,postpartum blood loss,duration of labor,and Apgar score were compared between the two groups. Results: 60 cases were successfully trial-produced in scar group with a success rate of 92.31%. There was no uterine incomplete rupture during delivery,3 cases of vaginal delivery. Conclusion: In the case of successful vaginal delivery in scar group,the maximum weight of the child was 3. 5 kg and the minimum was2.4 kg. The thickness of the lower uterine segment was dynamically monitored during the delivery process.If the first labor was less than3 mm,vaginal trial labor was decisively terminated and cesarean section was adopted.

关 键 词：剖宫产术后 阴道分娩 临床指征 

分 类 号：R719.8[医药卫生—妇产科学]