疤痕子宫再次妊娠分娩145例分析

Analysis of 145 Cases of Repeated Pregnancy and Childbearing with Cicatricialwomb

目的 探讨疤痕子宫再次妊娠不同分娩方式分娩结局对母婴的影响。方法 对1998-01～2005-12，我院145例疤痕子宫再次妊娠孕妇的分娩方式、分娩结局，及母婴并发症进行回顾性分析。结果 145例中36例阴道分娩，109例行再次剖宫产术，术中平均出血量增加，手术时间延长，腹腔粘连和产后出血发生率高，差异有显著性意义。结论 疤痕子宫再次妊娠分娩并非是剖宫产绝对指征，严格掌握手术适应证，提高剖宫产手术技术水平，是降低疤痕子宫再次剖宫产并发症的关键。符合试产条件者，严密监护下阴道试产是安全的。

Objective To discuss the influence of result of the different ways of childbirth of cieatrieial womb＇s repeated pregnancy on the mother and baby.Methods Process the retraspective analysis on the ways of childbirth, result of the childbirth and the mother and baby complications of 145 cases of repeated pregnancy women with eicatricial womb in our hospital from January to December. Results Of the 145 cases,there are 36 cases of vagina delivery and 109 cases of repeated caesarean operation.During thue operation,the average bleeding amount is added, the operation time is prolonged, and the occurance ratio of the abdomen adherence and bleeding amount is higher, so there are significant difference. Conclusion The repeaed pregnancy with cicatricial womb will not be the absolute indication of the cesarean section. To strictly grasp the operation adaption, and improve the cesarean section operation technique is the key to reduce the complications of repeated cesarean section. Those who satisfy the conditions of test childbirth will be safe in vigina childbirth under strict care.