剖宫产疤痕子宫再次妊娠的分娩方式分析

Cesarean Section Delivery Ways of Repregnancy in Scared Uterus

目的探讨剖宫产疤痕子宫后再次妊娠的合理分娩方式。方法对186例疤痕子宫再次妊娠孕妇的分娩方式进行回顾性分析。结果 123例阴道试产分娩成功108例,阴道试产成功率87.8%,未发现子宫破裂,产时出血量、产程、新生儿Apgar评分与同期自然分娩102例比较,两组相比差异均无统计学意义(P>0.05);择期剖宫产组78例。结论临床操作具备相应的条件和掌握好适应证,疤痕子宫足月妊娠在一定条件下实施阴道分娩具有可行性和安全性。

Objective To study the reasonable ways of cesarean section delivery of repregnancy in scared uterus. Methods 186 cases of delivery ways of repregnancy in scared uterus were analyzed retrospectively. Results In 123 cases of vaginal trial delivery, 108 cases were successful, with successful rate of 87.8% and no uterine rupture. Compared to102 cases of vaginal delivery at the same period, intrapartum bleeding volume, delivery process, neonatal Apgar scores had no statistical difference between the two groups （P 〉0.05）. Elective cesarean group had 78 cases. Conclusion Under certain conditions, vaginal deliveryof full-term pregnancy in scared uterus is feasible and safe.