瘢痕子宫妊娠经阴道分娩50例临床分析

Clinical analysis of 50 cases of uterine scar pregnancy, vaginal delivery

目的对瘢痕子宫阴道分娩进行临床分析,讨论其可行性。方法收集分析本院产科2010年1月～2013年10月收治的263例瘢痕子宫分娩病例,选取符合条件的阴道试产病例50例,作为观察组。再选取符合阴道试产条件,并进行阴道试产的50例初产妇作为对照组。比较两者第一产程、第二产程时间、产后出血量等指标。结果①观察组50例病例,阴道分娩成功46例,占92%。②观察组第一产程时间(9.41±0.74)h,第二产程时间为(0.96±0.33)h、产后出血量为(160±22)ml。与对照组比较差异无统计学意义(P>0.05)。结论为减少瘢痕子宫产妇剖宫产率,可对其进行阴道试产。

Objective To analyze uterine scar vaginal delivery, discuss its feasibility. Methods Analysis of 263 cases of uterine scar maternity hospital obstetric cases in January 2010 to October 2013 were treated to select cases of vaginal trial production of 50 cases meet the conditions, as the observation group. Then select the line with vaginal trial production conditions and vaginal trial production of 50 cases of primipara as a control group. Compare the first stage, the second stage of labor, postpartum hemorrhage and other indicators. Results①observation group of 50 cases, 46 cases of successful vaginal delivery, accounting for 92%.②first stage time observation group （9.41＆#177;0.74） hours, the second stage of labor time was （0.96＆#177;0.33） h, postpartum hemorrhage is （160＆#177;22） ml. And the control group showed no significant difference （P＆gt;0.05）. Conclusion To reduce the rate of cesarean section uterine scar can be vaginal trial production.