探讨剖宫产术后瘢痕子宫再次妊娠分娩方式的选择

Study on Choice of Delivery Method of Scarred Uterus Re-pregnancy after Caesarean Section

目的探讨剖宫产术后瘢痕子宫再次妊娠分娩方式的选择。方法随机抽取2015年3月—2016年2月到该院住院并分娩的剖宫产术后瘢痕子宫再次妊娠的孕妇120例,对其临床分娩方式的选择、临床表现以及分娩结果等展开回顾性的分析。结果 120例剖宫产术后瘢痕子宫再次妊娠的孕妇均于分娩前接受健康妊娠方式的知识宣教,之后共有66例孕妇主动选择阴道试产,占比55.0%(66/120),其余的54例孕妇仍选择剖宫产术进行再次分娩,占比45.0%(54/120)。结论经临床实践证明,剖宫产术后瘢痕子宫再次妊娠的孕妇在全面了解并符合阴道试产的适应证后,选择阴道试产的分娩方式比再行剖宫产术分娩的安全性和可行性要高得多,能更好地保障母儿的安全健康。

Objective To study the choice of delivery method of scarred uterus re-pregnancy after caesarean section.Methods 120 cases of pregnant women with scarred uterus after caesarean section hospitalized and giving birth in our hospital from March 2015 to February 2016 were randomly extracted and the choice of clinical delivery methods,clinical manifestations and delivery results were retrospectively analyzed.Results The 120 cases of patients received knowledge instruction about healthy pregnant method before delivery,and then 66 cases of pregnant women actively chose trial of labor,accounting for 55.0%（66/120）,and the other 54 cases still chose caesarean section for the second delivery,accounting for45.0%（54/120）.Conclusion The clinical practice proves that the safety and feasibility of the choice of the delivery method of trial of labor are much higher than those of the caesarean section delivery after the comprehensive understanding of trial of labor and conforming to the indications of trial of labor by patients with scarred uterus re-pregnancy after caesarean section,which can better ensure the maternal and child safety and health.