瘢痕子宫再次妊娠分娩方式的选择分析

The Scar during Pregnancy Again Discussed Ways Childbirth

目的探讨瘢痕子宫再次妊娠的分娩方式的选择。方法对60例瘢痕子宫再次妊娠孕妇的分娩方式进行回顾性分析。结果 60例瘢痕子宫再次妊娠孕妇中选择阴道试产35例,阴道试产率58.33%(35/60),试产成功率80%(28/35);剖宫产32例(其中包括阴道试产失败改剖宫产7例),所有阴道分娩和剖宫产母婴情况均良好。结论瘢痕子宫并非剖宫产的绝对指征,对符合阴道试产条件者,在严密监护下阴道试产是完全可行的,降低再次剖宫产率,有利于产后恢复,进一步提高产科质量,促进围生医学的进一步发展。

Objective To study the womb of pregnancy again scar dilivery method. Methods Sixty cases of sear c pregnant women during pregnancy again uterus dflivery method were retrospectively analyzed. Results 60 cases during pregnan cy again in the scar pregnant women choose vaginal trialproduce 35 patients, vaginal trialproduce rate 58.33% （35/60） trialproduce rate was 80% （28/35）, and cesarean section 32 cases （including vaginal accding to 7 cases failure cesarean see tion）, vaginal delivery of all maternal and infant are both good and cesarean section. Conclusion The uterus is not the absolut, cesarean section scar indications, to according with vaginal accding to requirements, in the strict custody vaginal trialproduc is completely feasible, reducing cesarean section rate again, be helpful for postpartum recovery, and to furiher improve the quai ity of obstetrics, promote the further development of the perinatal medicine.