剖宫产后疤痕子宫再次妊娠分娩方式的临床分析

The Clinical Analysis of the Mode of Delivery of the Uterine Scar After Cesarean Section

目的探讨剖宫产后疤痕子宫再次妊娠分娩方式的临床效果。方法选取2016年1月—2017年1月,到郯城县第一人民医院进行分娩的产妇200例,将200例疤痕子宫产妇分为两组,并编号为实验组和对照组,每组产妇100例。结果实验组产后出血量(311.78±35.88)ml,住院时间(3.13±0.69)d,新生儿窒息2例;对照组产后出血量(415.58±44.87)ml,住院时间(6.32±1.22)d,新生儿窒息5例;实验组均低于对照组,差异有统计学意义(P<0.05)。结论剖宫产疤痕子宫产妇,推荐使用阴道自然分娩,对产妇的影响较小。

Objective To explore the clinical effect of the mode of pregnancy after cesarean scar. Methods From January 2016 to January 2017, 200 parturients delivered in The First People＇s Hospital of Tancheng County were selected. 200 cases of women with scar uterus were divided into two groups, which were numbered as the experimental group and the control group, with 100 cases in each group. Results The amount of postpartum hemorrhage in the experimental group was （311.78 ± 35.88） ml, the time of hospitalization was （3.13 ± 0.69） d, and the neonatal asphyxia was 2 cases. The amount of postpartum hemorrhage in the control group was （415.58 ±44.87） ml, the time of hospitalization （6.32 ± 1.22） d, and neonatal asphyxia in 5 cases. The experimental group was lower than the control group, and the difference was statistically significant （P 〈 0.05）. Conclusion Caesarean scar uterus parturient is recommended to use natural vaginal delivery, which has little influence on parturients.