瘢痕子宫再次妊娠分娩方式分析

Analysis on the Delivery Mode for Re-pregnant Women with Scarred Uterus

目的：探讨瘢痕子宫再次妊娠合理选择分娩方式，提倡阴道分娩，降低剖宫产率．方法：选择内蒙古民族大学附属医院自2008—02—2011-0280例瘢痕子宫再次妊娠的孕妇临床资料进行回顾性分析．结果：80例瘢痕子宫妊娠分娩中，阴道试产组33例，试产成功23例，成功率69．70％，试产失败改行剖宫产组10例，失败率30．30％．新生）LApgar评分两组无明显差异，产后出血量剖宫产组高于阴道分娩组．结论：瘢痕子宫并不是剖宫产手术的绝对指征，对于符合阴道试产条件的产妇，在严密监护下，阴道试产是安全可行的．

Objective： To explore the reasonable selection of delivery mode in re-pregnant women with scarred uterus, to advocate vaginal delivery and to reduce the rate of cesarean section. Methods： The clinical data of 80 cases re-pregnant women with scarred uterus who hospitalized in our hospital from February 2008 to February 2011 were retrospectively analyzed. Results： The vaginal delivery group （33 cases） tried vaginal delivery and 23 eases succeeded, the successful rate was 69.70%; 10 cases failed and underwent cesarean section, the failure rate was 30.30%. The neonatal Apgar score of two groups had no significant difference, the amount of postpartum hemorrhage in cesarean section group was more than that of vaginal delivery group. Conclusion： Scarred uterus is not an absolute indication for cesarean operation, under close monitoring, trial vaginal delivery is feasible.