妊娠子宫再次妊娠分娩方式选择及经阴道分娩安全性分析

Choices of delivery mode for pregnant uterus in subsequent pregnancy and safety analysis of vaginal delivery

目的探讨妊娠子宫再次妊娠分娩方式并分析经阴道分娩安全性。方法抽取商丘市第一人民医院2016年12月—2017年12月间收治的140例瘢痕子宫再次妊娠产妇为研究对象,均设为观察组,以阴道试产为甲组,乙组为剖宫产,另设同期收治的60例经阴道分娩产妇为对照组(丙组),比较入组产妇分娩情况。结果甲组并发症发生率为8.6%,乙组并发症发生率为21.4%,差异有统计学意义(P<0.5);甲丙两组术中出血量、分娩时间、住院时间,差异不明显,无统计学意义(P>0.05);比较甲乙两组临床指标,差异有统计学意义(P<0.05)。结论瘢痕子宫再次妊娠产妇经阴道自然分娩比剖宫产更具优势。

Objective To investigate different delivery modes for pregnant uterus in subsequent pregnancy and analyze the safety of vaginal delivery. Methods From December 2016 to December 2017,a total of 140 pregnant females with scarred uterus from our hospital were enrolled in this study,which were set as observation groups,including vaginal birth after cesarean as group A and cesarean section as group B. At the same time,60 vaginal delivery females were enrolled and set as control group（ group C）. The delivery situations were compared among different groups. Results The complication rates in group A and B were 8. 6% and 21. 4%,respectively,with a significant difference between the two groups（ P 〈 0. 5）; no significant difference was observed in postoperative hemorrhage,delivery time or hospitalization time between group A and C（ P 〉 0. 05）; but the clinical indexes of group A were significantly different from those of group B（ P 〈 0. 05）. Conclusion Compared to cesarean section,natural vaginal delivery for pregnant women with scarred uterus is more advantageous.