瘢痕子宫再次妊娠行阴道分娩的可行性和安全性

Feasibility and safety of vaginal delivery in the second pregnancy of scar uterus

目的探究瘢痕子宫再次妊娠经阴道分娩的可行性和安全性。方法选取我院2016年8月至2017年8月收治的瘢痕子宫再次妊娠产妇62例,依据实际分娩方式分为两组,甲组采用剖宫产,乙组实施阴道分娩。比较两组产妇住院时间、产后出血量、并发症发生率及新生儿Apgar评分。结果乙组住院时间较甲组更短,且产后出血量更少,组间差异有统计学意义(P<0.05);乙组并发症总发生率为6.45%,明显低于甲组的41.94%(P<0.05);乙组新生儿Apgar评分显著优于甲组,组间差异具有统计学意义(P<0.05)。结论在瘢痕子宫再次妊娠产妇中,对其进行综合性产前检查,掌握适应症后,选取阴道分娩,不仅可以促使产妇的产后康复,而且能够降低并发症发生率,值得在临床上进一步推广及应用。

Objective To explore the feasibility and safety of vaginal delivery in the second pregnancy of scar uterus.Methods Sixty-two cases of vaginal delivery in the second pregnancy of scar uterus treated in our hospital from August2016 to August 2017 were selected, and divided into two groups according to the actual method of delivery. The group A received cesarean section, and the group B accepted vaginal delivery. The time of hospitalization, amount of postpartum hemorrhage, incidence of complications and Apgar score of the newborn were compared between the two groups. Results The hospitalization time of the group B was shorter than that of the group A, and with less amount of postpartum hemor-rhage, there were significant differences between the two groups(P<0.05). The total incidence of complications in the group B was 6.45%, which was significantly lower than 41.94% in the group A(P<0.05). The Apgar score of the newborn in the group B was significantly superior to the group A, and the difference between groups was significant(P<0.05). Conclusion In scar uterus pregnancy again, carring on the comprehensive antenatal examination, and mastering the indications, then vaginal delivery, can not only cause the maternal postpartum recovery effectively, but also can reduce the incidence of complications, which is worthy of further promotion and application in clinic.