瘢痕子宫足月妊娠孕妇阴道分娩与母婴安全性分析

SAFETY ANALYSIS ON VAGINAL DELIVERY AND MOTHER-CHILD IN PREGNANT WOMEN WITH FULL-TERM PREGNANCY

目的分析瘢痕子宫足月妊娠孕妇阴道分娩和母婴的安全性。方法回顾性分析2016年4月-2017年4月在我院产科规律产检并分娩的瘢痕子宫足月妊娠孕妇100例病例资料,阴道分娩46例,剖宫产54例。统计分析二组患者的一般资料、产时出血量、产后出血量、并发症发生率、产后恶露时间、自主哺乳时间、住院时间、出生5分钟Apgar评分、脐动脉学pH值、新生儿出生体重、入住新生儿ICU率、新生儿窒息发生率。结果二组患者的年龄、学历等一般资料比较差异无统计学意义(P>0.05)。阴道分娩组患者的产时出血量、产后出血量均明显低于剖宫产组,二组之间差异具有统计学意义(P<0.05);二组产妇的并发症发生率比较差异无统计学意义(P>0.05),阴道分娩组产妇的产后恶露时间、自主哺乳时间和住院时间均明显短于剖宫产组,且二组差异具有统计学差异(P<0.05)。阴道分娩组新生儿的出生5分钟Apgar评分、脐动脉学PH值、新生儿出生体重、入住新生儿ICU率、新生儿窒息发生率与剖宫产组比较差异无统计学意义(P>0.05)。结论在充分评估孕妇情况的前提下,瘢痕子宫足月妊娠孕妇采取阴道分娩具有良好的临床效果,对母婴均具有较高的安全性。

Objective To analyze clinical characteristics of vaginal delivery in pregnant women with full-term pregnancy and maternal safety.Methods In this study,100pregnant woman cases of full-term pregnancy of scar uterus who examined and delivered in author's hospital from April 2016to April 2017were selected as the research subjects.According to the way of delivery,all the pregnant women were divided into 46cases of vaginal delivery group and 54cases of caesarean section group.The general data of two groups of patients were recorded.Vaginal delivery and cesarean section were performed respectively.The quantity of intrapartum hemorrhage,postpartum hemorrhage,the delivery time,complication rate,postpartum lochia time,independent birth lactation time,hospitalization time,Apgar score at 5 min,umbilical artery PH,body weight,learning to the new birth rate of ICU and the incidence of neonatal asphyxia of newborn of two groups were statistically analyzed.Results There was no statistical difference in general information of the two groups (P>0.05).The amount of intrapartum hemorrhage,postpartum hemorrhage and labor time in the vaginal delivery group were significantly lower than those in the cesarean section,and the delivery time was significantly longer than that in the cesarean section.(P<0.05).The maternal complications of two groups had no significant difference (P>0.05).The maternal postpartum lochia time independent,lactation time and hospital stay of vaginal delivery group were significantly shorter than those of cesarean section group,and the difference between the two groups had statistical differences (P<0.05).In the vaginal delivery group,there was no significant difference in the 5minutes Apgar score,umbilical artery pH,neonatal birth weight,neonatal ICU rate and neonatal asphyxia incidence compared to the cesarean section group (P>0.05).Conclusion Under the premise of fully assessing the condition of pregnant women,vaginal delivery of scar uterus full-term pregnant women has good clinical effect,and has high safety for both mothers and infants.