瘢痕子宫再次妊娠268例分娩方式分析

Scar uterine pregnancy by mode of 268 cases of delivery

目的探讨瘢痕子宫再次妊娠分娩方式,了解阴道试产的可行性。方法对268例瘢痕子宫再次妊娠病例进行回顾性分析。结果 268例孕妇中有207例剖宫产,61例阴道试产,试产成功37例,成功率60.66%。剖宫产组与阴道分娩组比较,新生儿Apgar评分差异无显著性(P>0.05),但产妇术中出血例数和出血量均明显上升,差异具有显著性(P<0.05)。结论瘢痕子宫并非剖宫产绝对指征,只要病例选择适当,在严密监护下可经阴道试产分娩。

Objective To study the scar uterine pregnancies dilivery method,understand again the feasibility of vaginal commissioning.Methods 268 example scar uterine again pregnancy were retrospectively analyzed.Results 268 cases,207 cases of cesarean section in pregnant women,61 cases of vaginal trial production,trial production successfully in 37 cases,the success rate of 60.66%.Caesarean section compared with vaginal delivery,Apgar score were not significant（P0.05）,but the number of cases of maternal blood loss and bleeding were significantly increased,the difference was significant（P0.05）.Conclusion Scar uterine cesarean delivery is not absolute indications,as long as cases,selecting the appropriate closely monitoring can be transvaginal trial-produce delivery.