瘢痕子宫再次妊娠分娩方式的探讨

Investigation of delivery way of uterine scar pregnancy again

目的探讨瘢痕子宫再次妊娠分娩方式选择及对新生儿的影响。方法回顾分析我院60例剖宫产后瘢痕子宫孕产妇再次分娩方式,分为择期剖宫产、急诊剖宫产、阴道分娩三组,对比三组产程产妇情况及产后新生儿情况。结果阴道分娩组出血量为(372.80±32.45)ml,住院时间为(3.50±1.50)d,均为三组最短(P<0.05);择期剖宫产新生儿体重为(3540.20±300.45)g,较另两组高(P<0.05);急诊剖宫产住院时间为(8.51±1.40)d,产程为(12.30±2.30)h,出血量为(500.40±23.56)ml,均为三组最高(P<0.05);三组新生儿Apgar分值差异无统计学意义(P>0.05)。结论瘢痕子宫产妇具体应选择何种分娩方式需要结合产妇具体情况,情况允许则选择阴道分娩,以减少出血量,缩短康复时间。

Objective To explore the delivery mode choice of uterine scar pregnancy again and its effect on newborns.Methods A retrospective analysis of maternal uterine scar after delivery way again in our hospital 60 cases of cesarean section,divided into elective cesarean delivery,emergency cesarean section,vaginal delivery three groups,compared to the three groups of labor conditions and postpartum mothers newborns. Results Vaginal delivery group blood loss was（ 372. 80 ± 32. 45） ml,hospital stay was（ 3. 50 ± 1. 50） d,the three groups are the shortest（ P〈0. 05）; Cesarean section birth weight was（ 3540. 20 ± 300. 45） g,higher than the other two groups（ P〈0. 05）; Emergency cesarean section hospital stay was（ 8. 51 ± 1. 40） d,labor was（ 12. 30 ± 2. 30） h,blood loss was（ 500. 40 ± 23. 56） ml,the three groups are the highest（ P〈0. 05）; Three groups of newborns Apgar score was no significant difference（ P〈0. 05）. Conclusion Maternal uterine scar should be the choice of the specific mode of delivery requires a combination of maternal specific circumstances,as circumstances permit vaginal delivery is selected to reduce the amount of bleeding,shorter recovery time.