瘢痕子宫妊娠分娩方式的探讨

Study on the delivery way of the pregnant woman with scar uterus

目的:探讨瘢痕子宫再次妊娠阴道分娩的可行性,降低剖宫产率。方法:对我院2008年1月～2009年12月剖宫产后再次妊娠的258例孕妇进行回顾性分析。结果:258例中,择期剖宫产153例,阴道试产105例,有80例试产成功,成功率为76.2%。结论:瘢痕子宫并非再次剖宫产的绝对指征,若无剖宫产指征,应给以阴道试产。

Objective： To study the delivery way of the pregnant woman with sear uterus to reduce the rate of caesarean birth. Methods： 258 eases of pregnant women in our hospital from January 2008 to December 2009, who had ever been practiced caesarean birth operation were analyzed. Results： Of 258 eases, 153 eases of eleetive cesarean section, vaginal trial production of 105 eases, there were 80 eases of trial production success, the success rate was 76.2%.Conclusion： Sear uterus is not the absolute indication for the second-time caesarean birth, ff there is no caesarean birth indication, the vagingal delivery should be tried.