瘢痕子宫再次妊娠经阴道分娩的临床观察

The Clinical Observation of Vaginal Delivery of Scar Uterine Pregnancy

目的探讨瘢痕子宫再次妊娠经阴道分娩的临床效果。方法本次医学研究选择我院妇产科2013年1月~2015年1月收治的200例瘢痕子宫再次妊娠产妇为观察对象,所有产妇均尝试阴道试产,其中,阴道试产不成功的100例产妇转为剖宫产终止妊娠（剖宫产组）,其余为阴道试产组,对比分析两组观察对象的分娩方式和分娩结果。结果阴道试产组100例观察对象,术后并发症发生率、住院时间、产后出血量、产时出血量、新生儿评分等观察指标结果均优于剖宫产组观察对象（P〈0.05）。结论瘢痕子宫再次妊娠产妇,若无特别的的剖宫产指征,则应尽量选择阴道自然分娩,从而保证产妇和新生儿健康。

Objective To investigate the clinical effect of vaginal delivery in the uterine scar pregnancy. Methods The medical research selected 200 cases of scar uterine pregnant women as the object of observation in our hospital from January 2013 to 2015 January. All women were trying to vaginal delivery. Among them,vaginal delivery was not successful,the 100 cases of maternal transfer to split the palace production and termination of pregnancy（cesarean section group）,the rest was as the vaginal delivery group,compared with two groups of mode of delivery and birth outcomes. ResultsVaginal delivery group of 100 cases, the postoperative complication rate,hospitalization time,postpartum bleeding,intrapartum hemorrhage volume,neonatal apgar score were observed and results were significantly better than caesarean birth group（P〈0.05）. Conclusion Women of uterine scar pregnancy,if have no obvious indication of cesarean section,they should choose the vaginal natural childbirth,so as to ensure the maternal and neonatal health.