疤痕子宫再次妊娠经阴道试产的安全性及可行性分析

Safety and Feasibility Analysis of Uterine Scar Pregnancy Again Vaginal Trial Production

目的：探讨疤痕子宫再次妊娠经阴道试产的安全性及可行性。方法随机选取2010年1月～2014年12月我院收治的疤痕子宫再次妊娠产妇90例，对其临床资料进行回顾性分析。结果90例疤痕子宫再次妊娠产妇中，44例（48.89%）行阴道试产，其中33例（75.00%）试产成功。试产成功者与经阴道分娩成功的非疤痕子宫妊娠者33例对比，两组产妇的出血量、产程、新生儿Apgar评分及住院时间，差异均无统计学意义（P＜0.05）。结论疤痕子宫再次妊娠严格掌握阴道试产的适应症，经阴道试产是安全可行的。

Objective Explore the uterine scar pregnancy again after the safety and feasibility of vaginal trial production.Methods Randomly selected in January 2010 - December 2014 in our hospital again uterine scar pregnancy maternal 90 cases, clinical data were retrospectively analyzed. Results 90 cases of uterine scar pregnancy maternal again in 44 cases （48.89%） vaginal trial production, of which 33 cases （75.00%） successful trial production. Successful trial production and successful non-vaginal delivery were 33 cases of uterine scar pregnancy compared two groups of maternal bleeding, labor, Apgar score and hospitalization time, the difference was not statistically signiifcant （P〈0.05）.Conclusion Again uterine scar pregnancy vaginal trial production strictly controlled indications, vaginal trial production is feasible and safe.