瘢痕子宫再次妊娠行阴道分娩的可行性和安全性

潘蕊

陕西省渭南市合阳县医院，陕西 渭南，715300

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摘要：

目的 探究瘢痕子宫再次妊娠经阴道分娩的可行性和安全性。方法 选取我院 2016年 8月至 2017年 8月收治的瘢痕子宫再次妊娠产妇 62例，依据实际分娩方式分为两组，甲组采用剖宫产，乙组实施阴道分娩。比较两组产妇住院时间、产后出血量、并发症发生率及新生儿 Apgar评分。结果 乙组住院时间较甲组更短，且产后出血量更少，组间差异有统计学意义（P＜0.05）；乙组并发症总发生率为 6.45% ，明显低于甲组的 41.94%（P＜0.05）；乙组新生儿 Apgar评分显著优于甲组，组间差异具有统计学意义（P＜0.05）。结论 在瘢痕子宫再次妊娠产妇中，对其进行综合性产前检查，掌握适应症后，选取阴道分娩，不仅可以促使产妇的产后康复，而且能够降低并发症发生率，值得在临床上进一步推广及应用。

关键词： 瘢痕子宫再次妊娠；阴道分娩；可行性；安全性

中图分类号： R714.4文献标志码：A文章编号： 2096-1413(2018)07-0136-02

Feasibility and safety of vaginal delivery in the second pregnancy of scar uterus


PAN Rui
(theHospitalofHeyangCounty,W einan 715300,China)



ABSTRACT: Objective To explore the feasibility and safety of vaginal delivery in the second pregnancy of scaruterus. Methods Sixty-two cases of vaginal delivery in the second pregnancy ofscaruterus treated in our hospita lfrom August 2016 to August 2017 were selected,and divided into two groups according to the actual method ofdelivery.The group A received cesarean section,and the group B accepted vaginal delivery.The time of hospitalization,amount of postpartum hemorrhage,incidence of complications and Apgarscore ofthe newborn were compared between the two groups. Results The hospitalization time of the group B was shorter than that of the group A,and with less amount of postpartum hemorrhage,there were significant differences between the two groups(P<0.05). The total incidence of complications in the group B was6.45% ,which was significantly lower than 41.94% in the group A (P<0.05).The Apgarscore ofthe newborn in the group B was significantly superior to the group A,and the difference between groups was significant (P<0.05).Conclusion In scaruterus pregnancy again,carring on the comprehensive antenatal examination, and mastering the indications,then vaginaldelivery,can notonly cause the maternal postpartum recovery effectively,butalso can reduce the incidence of complications,which is worthy of further promotion and application in clinic.                                                                                     KEYWORDS: uterinecicatricial pregnancy; vaginal delivery; feasibility; safety


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