瘢痕子宫164例再次妊娠分娩方式的相关探讨

Analysis of Delivery Ways of Women with Scarrted Vtems and Repeated Pregnancy

目的探讨瘢痕子宫再次妊娠的分娩方式。方法对我院收治的瘢痕子宫住院分娩产妇164例的临床资料进行回顾性分析,就再次剖宫产和经阴道分娩的母婴结局进行观察比较。结果 164例产妇中经阴道分娩42例,分娩率为25.61%,成功率为84%,再次剖宫产122例。瘢痕子宫阴道分娩组产后出血量、住院天数明显低于再次剖宫产组(P<0.01),新生儿窒息率比较差异无统计学意义(P>0.05)。结论瘢痕子宫产妇只要符合阴道试产条件,严密监护下行阴道分娩是可行的。

Objective T0 investigate the advantages and disadvantages of the two delivery ways of women with scarred uterus and repeated pregnancy. Methods The clinical data of 164 repeated pregnant women in our hospital with scarred uterus were retrospectively analysed. The data of caesarean section and vaginal delivery cases from those 164 cases have been selected to compare. Results 42 cases of vaginal delivery,the delivery rate was 25.61%, the success ratio was about 84%,122 cases of cesarean section,The group of vaginal delivery with scarred uterus in postpartum hemorrhage rolume,hospital stay were lower than that the group of secondary cesarean section （P0.05）. Conclusion Pregnant women with scarred uterus as long as met conditions of the vaginal trial delivery. Intensive care of Vaginal delivery is safe and feasible.