瘢痕子宫再次妊娠分娩方式的选择

Selection of labor modality for secondary pregnancy of women with cicatricial uterus

目的 探讨瘢痕子宫再次妊娠的分娩方式。方法 对199例瘢痕子宫再次妊娠分娩方式资料进行统计分析。结果 199例瘢痕子宫再次妊娠分娩者中158例剖宫产，剖宫产率达79．4％（73．7％～85．2％）。其原因有社会因素、胎儿窘迫、产科并发症等，而真正由于瘢痕原因需要再次剖宫产者仅10例。只占5．03％（1．99％～8．06％）。结论 瘢痕子宫再次妊娠．分娩方式仍可以选择阴道试产，在掌握好阴道分娩指征、严密监护、病人配合和家属理解的情况下。是可以经阴道分娩的。

Objective To determine the appropriate labor modalities for secondary pregnancy of women with cicatricial uterus. Methods The data of 199 cases of cicatricial uterus who had secondary pregnancy were analyzed statistically. Results Among them,158 Underwent cesarean section（79.40%）,and the reasons for performing cesarean section were due to social factors,fetal distress,and relevant complications. Only 10 cases undergoing cesarean section were due to eieatrlcial uterus（5.03%）. Conclusion For those with eicatrieial uterus having secondary pregnancy,vaginal delivery is still an alternative option. It is mandatory to select the indication of vaginal delivery, conduct close monitoring,as well as get patients＇cooperation and family members＇understanding.