瘢痕子宫再妊娠患者的分娩方式探析

Discussion the way of delivery on second pregnancy women with cicatrice uterus

目的:探讨瘢痕子宫再妊娠适宜的分娩方式。方法回顾分析我科近年收治的120例瘢痕子宫产妇的临床资料,比较产程、出血量、Apgar评分。结果:120例瘢痕子宫再妊娠产妇中80例进行阴道试产,成功分娩68例,12例行急诊剖宫产,其余40例直接选择再次剖宫术。阴道试产成功产妇虽产程、出血量较正常产妇多,但无统计学差异,Apgar评分也无统计学差异。本组病例均无子宫破裂发生。结论:在无明确剖宫产指征时建议对瘢痕子宫再妊娠产妇可采取阴道试产,既可减少二次剖宫产的并发症,又可对母婴保健起到积极作用。

Objective：To study the way of delivery on second pregnancy woman with cicatrice uterus.Methods：Retrospective compare the clinical data of 120 second pregnancy woman with cicatrice uterus to normal labor with stage of labor,amount of blood and Apgar scores.Results：There were 68 cases delivering successfully of 80 second pregnancy woman with cicatrice uterus to vaginal trial-produce,while 12 cases with emergency caesarean section.There were 40 cases choosing caesarean section directly.The stage of labor,amount of blood and Apgar scores were worse in women with caesarean section than others.Results：Choose vaginal trial-produce to second pregnancy woman with cicatrice uterus with no indication of caesarean section to reduce the complication and improve health of mother and infant.