剖宫产后瘢痕子宫妊娠阴道分娩的临床分析

目的分析剖宫产后瘢痕子宫妊娠妇女阴道分娩的安全性和可行性。方法以516例剖宫产后瘢痕子宫妊娠妇女为研究对象,根据指征采取适当的分娩方式,其中376例实施剖宫产手术方式进行分娩(对照组),140例进行阴道分娩(观察组),比较2组产后24 h出血量、住院时间、子宫破裂发生情况及新生儿窒息率。结果与观察组相比,对照组分娩后24 h出血量更多,住院时间更长,差异具有统计学意义(P<0.05);2组均无子宫破裂发生;观察组新生儿窒息率为10.71%,低于对照组的21.01%,差异具有统计学意义(P<0.05)。结论与剖宫产相比,瘢痕子宫孕妇进行阴道分娩具有产后24 h出血量少、住院时间短的特点,可有效降低新生儿窒息率。

Objective analyzing the cesarean scar pregnancy in women vaginal delivery the safety and feasibility. Methods After giving birth in the hospital were 516 cases of obstetric cesarean section scar pregnancy in women for the study, to take the appropriate mode of delivery according to indications, the way in which the implementation of cesarean section 376 cases were childbirth （control group）, 140 cases of vaginal delivery （study group）, comparison of the two groups 24 hours postpartum hemorrhage, hospital stay, incidence of uterine rupture and neonatal asphyxia. Results Compared with the observation group and control group 24 h more bleeding after childbirth, longer hospital stays, and the difference was statistically significant （P〈0.05）; there were no uterine rupture; observation group was 10.71% of neonatal asphyxia, lower than 21.01% in the control group, the difference was statistically significant （P〈0.05）. Conclusion For compliance with vaginal birth after cesarean indications uterine scar pregnancy, most of which can be vaginal delivery; cesarean section compared with vaginal delivery 24 h postpartum hemorrhage have less hospitalization time is short features, which can effectively reduce neonatal asphyxia.