瘢痕子宫阴道分娩的结局分析

Analysis of the outcome of vaginal delivery of scar

目的对瘢痕子宫再次妊娠的患者进行阴道分娩的结局进行分析。方法对东莞市塘厦医院2015年6月~2016年6月的228例瘢痕子宫妊娠的患者进行研究,随机分为两组,每组各114例。有试产指征者为研究组行阴道分娩,无试产指征为对照组实施重复剖宫产分娩,对两组产后24 h出血量、分娩时间、住院时间、不良反应发生率和新生儿Apgar评分进行分析。结果研究组产后24 h出血量低于对照组,分娩时间、住院时间短于对照组,不良反应发生率低于对照组,差异均有统计学意义(P<0.05);而两组新生儿Apgar评分差异无统计学意义(P>0.05)。结论瘢痕子宫再次妊娠患者,严格掌握阴道分娩指征,严密监测产程,可以成功阴道分娩,降低剖宫产率,减少母婴并发症。

Objective To analyze of the outcome vaginal delivery in the pregruant patients with scarred uteres.From June 2015 to June 2016,228 cases of vaginal delivery with second pregnancy admitted to our hospital were researched,they randomly divided into two groups,114 casec in each group.With trail production condition was grouped research group vaginal delivery,without trail production condition was grouped control group by re-cesarean section.The amount of bleeding 24 h after delivery in the research group was lesser than that in the control group（P〈0.05）,delivery time,hospitalization time in the research group was shorter than that in the control group（P〈0.05）,incidence of adverse reaction in the research group was lower than that in the control group,the differences were statistically significant（P〈0.05）.The neonatal Apger scores had no stistically significant between two groups（P〉0.05）.Conclusion Scarred uterua is not the absolute incication for repeated cesarean section.those who meet requirement of vaginal delivery and do not have any clear incication for cesarean can have a vaginal birth after cesarean under intensive care.