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 cicatricai uterus

目的探讨瘢痕子宫再次妊娠的分娩方式。方法对167例瘢痕子宫再妊娠分娩进行回顾性分析，B超检测子宫下段瘢痕状态选择性阴道试产。结果167例中，直接再次剖宫产94例，阴道分娩48例，试产后改行剖宫产35例。结论瘢痕子宫再次妊娠，若无剖宫产指证，子宫下段瘢痕状态良好，可阴道试产。

Objective To explore the appropriate labor modalities for secondary pregnancy of women with cicatricial uterus. Methods 167 cases of cicatricial uterus who had secondary pregnancy were analyzed in a retrospective way. The condition of cicatricial uterus＇s bottom was monitored by type B ultrasonic, then, vaginal delivery was an alternative option. Resnits Among them, 94 cases underwent cesarean section diretly, 48 cases selected vaginal delivery,35 cases were mandatory with cesarean section. Conclusion For those with cicatricial uterus having secondary pregnancy, vaginal delivery will be an alternative option. If there is no underwent lesarean section and the bottom of cicatricial in good condition.