摘要
目的探讨剖宫产瘢痕子宫再次妊娠的分娩方式与新生儿预后情况。方法选择二次分娩的产妇130例,对再次分娩情况与新生儿结局进行分析。结果再次剖宫产80例均成功(100.0%),阴道试产50例,成功45例(90.0%),两组新生儿NBNA评分在行为能力、被动肌张力、主动肌张力、原始反射、一般估价方面比较,差异无统计学意义(P>0.05)。结论剖宫产瘢痕子宫再次妊娠分娩时,经阴道试产是一个可选择的措施,但是临床上应严格掌握适应证,密切观察产程,提高产科安全性。
Objective To explore the way of delivery and neonatal prognosis of cesarean scar pregnancy. Methods A total of second cases of delivery of 130 cases of mothers were selected, the re delivery and neonatal outcomes were analyzed. Results 80 cases of cesarean section were successful （100.0%）, 50 cases of vaginal trial production, 45 cases were successful （90.0%）. The NBNA score of the 2 groups was compared in the behavioral ability, passive muscle tension, active muscle tension, primitive reflex and general evaluation. There was no significant difference （P 〉 0.05）. Conclusion Cesarean section pregnancy, vaginal trial production is an option. However, clinical indications should be strictly controlled, close observation of labor, improve obstetric safety.
出处
《中国卫生标准管理》
2017年第7期36-38,共3页
China Health Standard Management
关键词
剖宫产
经阴道试产
再次妊娠
分娩方式
预后
cesarean section
vaginal trial production
re pregnancy
delivery mode
prognosis
