疤痕子宫经阴道分娩的可行性分析

Feasibility analysis of vaginal delivery for secondary pregnancy of women with cicatricial uterus

目的:探讨疤痕子宫再次妊娠经阴道分娩的安全性及可行性。方法:选取经评估后拟经阴道分娩的足月妊娠产妇为研究对象,其中疤痕子宫经阴道分娩产妇为观察组(145例),同时期非疤痕子宫经阴道分娩的产妇为对照组(8 783例)。比较两组产妇经阴道分娩的成功率、产时出血量、总产程、产后出血量、新生儿窒息发生率及产后并发症发生率。结果:两组产妇经阴道分娩成功率、产时出血量、总产程等指标对比,差异均无统计学意义(P>0.05);观察组和对照组产妇产后出血量、新生儿窒息率、产后并发症发生率比较,差异均无统计学意义(P>0.05)。结论:符合标准的疤痕子宫再次妊娠经产道分娩具有一定的安全性和可行性,值得临床推广。

Objective：To investigate the safety and feasibility of vaginal delivery for secondary pregnancy of women with cicatricial uterus. Methods： Full - term pregnant women estimated to have vaginal delivery were selected, in which women with cicatricial uterus were selected as ob- servation group（ 145 cases）and those without cicatricial uterus were selected as control group（8 783 cases）. The success rate of vaginal delivery, amount of bleeding, total labor time, amount of postpartum hemorrhage, incidence of neonatal asphyxia and incidence of postpartum complications were compared between the two groups. Results ： There was no significant difference in the success rate of vaginal delivery, amount of bleeding, to- tal labor time, amount of postpartum hemorrhage, incidence of neonatal asphyxia and incidence of postpartum complications between observation group and control group（ P 〉 0.05 ）. Conclusion： Vaginal delivery for secondary pregnancy of women with cicatricial uterus that meet certain cri- teria is safe and feasible, and is worthy of clinical promotion.