瘢痕子宫阴道分娩可行性与安全性临床分析

Clinical analysis of feasibility and safety of scarred uterus vaginal delivery

目的探讨瘢痕子宫阴道分娩的可行性与安全性,进一步指导临床。方法 98例瘢痕子宫再次妊娠选择阴道分娩产妇作为观察组,同期随机选取98例非瘢痕子宫选择阴道分娩的产妇作为对照组,对比分析两组产妇阴道分娩情况及产妇、新生儿并发症情况。结果观察组阴道试产成功率、产程时间、住院时间与对照组相比,差异无统计学意义(P>0.05),观察组产后出血量、先兆子宫破裂及新生儿Apgar评分与对照组相比,差异无统计学意义(P>0.05)。结论瘢痕子宫再次妊娠在符合试产条件下行阴道试产具有较高的安全性与可行性,可以有效降低剖宫产率,值得临床借鉴。

ObjectiveTo investigate the feasibility and safety of scarred uterus vaginal delivery, in order to provide further clinical guide.MethodsThere were 98 scarred uterus re-pregnant puerpera choosing vaginal delivery as observation group, and another 98 puerpera without scarred uterus as control group. Vaginal delivery situation, complications of puerpera and newborn of the two groups were compared and analyzed.ResultsThere were no statistically significant differences of vaginal trial production success rate, labor time, and hospital stay between the two groups （P〉0.05）. Compared with the control group, the observation group had no statistically significant differences of postpartum hemorrhage volume, impending of rupture of uterus, and neonatal Apgar score （P〉0.05）.ConclusionVaginal trial production under corresponding conditions has high safety and feasibility for scarred uterus re-pregnancy. This method can effectively reduce cesarean section rate, and it is worthy of clinical reference.