瘢痕子宫再次足月妊娠100例阴道试产30例讨论

Scar uterus has 30 cases of full-term pregnancy,100 cases of vaginal trial production to discuss

目的讨论瘢痕子宫再次足月妊娠阴道分娩的可行性。方法回顾性分析100例剖宫产后再次足月妊娠分娩患者的资料,选择30例疤痕子宫阴道试产患者、100例正常产妇阴道试产,对两组患者的产时出血量、产程时间、子宫收缩情况、新生儿评分进行比较。结果与正常产妇阴道分娩相比,疤痕子宫阴道分娩患者出血偏多,产程时间和子宫收缩情况无差异。结论瘢痕子宫再次足月妊娠选择阴道试产者,在严格掌握指征的前提下,较为安全,减少再次剖宫产加重盆腹腔脏器粘连程度等并发症。

Objective To discuss the feasibility of scar uterus again full-term pregnancy vaginal delivery. Methods A retrospective analysis of data of I00 cases of cesarean section in patients with pregnancy, 30 cases of scar uterus vaginal delivery, 100 cases of normal pregnant women with vaginal delivery, to compare the amount of bleeding in two patients, the labor time, uterine contraction, Apgar score. Results Compared with the normal spontaneous vaginal delivery, vaginal delivery in patients with scar uterus bleeding too much, time of birth process and uterine contraction was no difference. Conclusion The uterine scar pregnancy vaginal trial production again, under the strict control of indications of the premise, more security, reduce cesarean section increased abdominal visceral adhesions and other complications.