疤痕子宫再次分娩产妇采用阴道试产和剖宫产的临床效果研究

Scar uterus childbirth puerpera vaginal trial production and cesarean section again the clinical effect of study

目的分析疤痕子宫再次分娩产妇进行阴道试产和剖宫产的不同效果。方法选取2015年6月~2016年11月本院的疤痕子宫再次分娩产妇100例作为观察组,另外选取同时间段初产妇100例作为对照组,两组均根据情况进行阴道试产或者剖宫产,比较两组分娩情况。结果观察组阴道分娩成功率为76.19%,对照组阴道分娩成功率72%;观察组剖宫产产妇的手术用时、产后出血量、住院时间分别为(70.79±8.33)min、(249.44±51.30)mL、(10.21±2.30)d,对照组为(58.44±7.20)min、(185.57±43.20)mL、(7.06±1.28)d,差异有统计学意义(P<0.05)。两组阴道分娩产妇产程总用时、产时出血量、新生儿Apgar评分、住院时间比较,差异无统计学意义(P>0.05)。结论疤痕子宫再次分娩产妇实施阴道试产存在一定风险,必须做好监测工作,尽可能降低剖宫产率,提升分娩结局。

Objective To analyze once again scar uterus puerpera childbirth vaginal trial production and the different effect of cesarean section.Methods Randomly selected on June 6,2015～November 2016 in our hospital 100 cases with scar uterus pregnant women again as observation group, in addition to choose same period 100 cases of primipara as control group, both groups according to the situation of vaginal trial production or cesarean delivery, compared two groups of childbirth.Results The observation group of vaginal delivery success rate was 76.19%, the control group 72% success rate of vaginal delivery;Observation group cesarean section surgery time, postpartum maternal blood loss, length of hospital stay（70.79±8.33） min, respectively（249.44±51.30）mL,（10.21±2.30）d,the control group （58.44±7.20）min,（185.57±43.20）mL,（7.06±1.28）d,（P〈0.05）.Two groups of vaginal delivery women labor total available, intrapartum and neonatal Apgar score,length of hospital stay was no significant difference （P〉0.05）.Conclusion Scar uterus vaginal trial production delivery again for a certain risk,monitoring work must be done well,as far as possible reduce cesarean section rate,improve birth outcomes.