探讨瘢痕子宫再次妊娠经阴道分娩的可行性及安全性  

To investigate the feasibility and safety of vaginal delivery of second pregnancy with scar uterus

作　　者：李寅红 季滢[1] 肖黎明[1] Li Yinhong;Ji Ying;Xiao Liming(Department of Obstetrics and Gynecology,Rugao People's Hospital,Rugao 226500,China)

机构地区：[1]如皋市人民医院妇产科,江苏如皋226500

出　　处：《实用妇科内分泌电子杂志》2024年第15期37-39,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨瘢痕子宫再次妊娠经阴道分娩的可行性及安全性。方法选取80例瘢痕子宫再次妊娠分娩产妇,根据分娩方式不同分为观察组与对照组,每组40例。观察组选择经阴道试产,对照组选择剖宫产术。记录观察组产妇经阴道试产成功率,比较两组产妇产后出血量、住院时间及并发症发生情况。结果观察组产妇试产成功率为85.00%;观察组产妇产后出血量少于对照组,住院时间短于对照组(P<0.05)。观察组产妇并发症发生率显著低于对照组(P<0.05)。结论在严格遵循阴道分娩和剖宫产适应证的基础上,对瘢痕子宫产妇,经阴道试产具有可行性和安全性。Objective To investigate the feasibility and safety of vaginal delivery of second pregnancy with scar uterus.Methods 80 pregnant women with scar uterus were selected and divided into observation group and control group according to different delivery methods,with 40 cases in each group.Observation group selected vaginal trial birth,control group selected cesarean section.The success rate of vaginal trial labor in the observation group was recorded,and the postpartum blood loss,hospital stay and complications were compared between the two groups.Results The success rate of trial birth in observation group was 85.00%;The postpartum blood loss and hospital stay in the observation group were shorter than those in the control group(P<0.05).The incidence of maternal complications in observation group was significantly lower than that in control group(P<0.05).Conclusion On the basis of strictly following the indications of vaginal delivery and cesarean section,vaginal trial delivery is feasible and safe for women with cicatricial uterus.

关 键 词：瘢痕子宫 阴道分娩 可行性 安全性 

分 类 号：R714.4[医药卫生—妇产科学]