瘢痕子宫再次妊娠行阴道分娩的可行性

Feasibility study of vaginal delivery with scarred uterus pregnancy again

目的探讨瘢痕子宫再次妊娠行阴道分娩的可行性。方法选取行阴道分娩的瘢痕子宫孕妇60例为观察组,另选取同期60例非瘢痕子宫孕妇阴道分娩者为对照组,比较2组孕妇阴道分娩时出血量、产程时间、新生儿Apgar评分、住院时间及产后并发症。结果 2组孕妇分娩时出血量、产程时间、住院时间及新生儿Apgar评分比较,差异无统计学意义(P>0.05);且2组孕妇产后并发症比较差异亦无统计学意义(P>0.05)。结论瘢痕子宫孕妇行阴道分娩并无特殊危险性,可根据孕妇的具体情况及意愿合理选择分娩方式。

Objective To explore the feasibility vaginal delivery with scarred uterus pregnancy again. Methods Sixty pregnant women with scarred uterus were selected as observation group, while 60 pregnant women with normal uterus were selected as control group. The pregnant women in the two groups all chose the vaginal delivery. The bleeding during vaginal delivery, duration of labor, Apgar score, hospital stay and complications after childbirth were compared between the two groups. Results There were no significant differences in bleeding during vaginal delivery, duration of labor, Apgar score, hospital stay and complications after childbirth between the two groups （ P 〉 0.05 ）. Conclusion For pregnant women with scarred uterus, vaginal delivery is not particularly dangerous. The reasonable delivery mode can be selected according to the specific circumstances and their wishes.