瘢痕子宫再次妊娠不同分娩方式对母婴影响研究

Analysis of Scar Uterus Pregnancy Childbirth Way Different Effects on Maternal and Infant Prognosis

目的对比分析瘢痕子宫妊娠不同分娩方式对母婴预后的影响。方法选择我院176例瘢痕子宫妊娠孕妇为研究对象,观察产后24h出血量、子宫破裂发生率、产褥感染发生率、新生儿窒息率。结果 176瘢痕子宫妊娠孕妇,88例阴道试产,68例分娩成功;对照组100例阴道试产,81例分娩成功。瘢痕子宫阴道试产组与剖宫产组比较,产后24h出血量、产褥感染发生率均少于剖宫产组,差异有统计学意义(P<0.05),且住院天数短于剖宫产组,差异有统计学意义(P<0.05)。新生儿5min Apgar评分比较差异无统计学意义(P>0.05)。结论瘢痕子宫妊娠行阴道试产具有出血量少,母婴并发症少等显著优点,临床上可在严格掌握瘢痕子宫阴道试产相关适应症的基础上,在产程严密监护下行阴道试产。

Objective To analysis the different effects on mother and infants of different childbirth way of scar uterus pregnancy. Methods 176 cases of uterine scar hospital pregnant women were chosen for the study, 24 hours post-partum hemor- rhage, the incidence of uterine rupture, the incidence of puerperal infection, neonatal asphyxia were observed. Results 88 cases of vaginal trial production, 68 cases of successful delivery, the control group of 100 cases of vaginal trial production, 81 eases of suceessful delivery. Uterine sear vaginal trial production group and cesarean group, 24 hours postpartum hemorrhage, puerperal in- fection rate of less than cesarean section group （ P 〈 0. 05 ）, and the length of hospital stay was shorter than the cesarean section group（P 〈 0. 05 ）. Apgar score 5 min difference was not statistically significant （P 〉 0. 05 ）. Conclusion Uterine scar pregnancy va- ginal trial production had less bleeding, less maternal complications and other significant advantages, in strictly related to uterine scar vaginal trial production on the basis of the indications in the labor intensive care downside vaginal clinical trial production.