剖宫产后瘢痕子宫再次妊娠分别行剖宫产及阴道分娩对比分析

Comparative Analysis of Cesarean Section and Vaginal Delivery After Cesarean Section Scar Pregnancy

目的对剖宫产后瘢痕子宫再次妊娠分别行剖宫产及阴道分娩进行对比。方法选择我院分娩的再次妊娠孕妇690例,分析瘢痕子宫孕产妇分娩方式。结果 690例孕妇中阴道试产者170例;阴道分娩者产后出血量、新生儿体重、住院时间以及住院费用低于再次剖宫产者(P<0.05)。结论符合阴道分娩指征者的瘢痕子宫再次分娩者可给予阴道分娩,有利于降低其子宫受损程度、缩短住院时间、规避并发症发生风险。

Objective To compare cesarean section and vaginal delivery after cesarean section scar pregnancy. Methods 690 cases of pregnant women in our hospital were selected and analyzed. Results 170 cases of 690 cases of pregnant women in vaginal delivery; vaginal delivery,postpartum hemorrhage,neonatal weight hospitalization time and hospitalization expenses were lower than that of the cesarean section（P〈0.05）. Conclusion The patients with vaginal delivery in accordance with the indications of vaginal delivery can be given vaginal delivery,which is beneficial to reduce the degree of damage to the uterus,shorten the length of stay and avoid the risk of complications.