瘢痕子宫再次妊娠分娩方式的选择及经阴道分娩安全性的临床分析

Clinical analysis of delivery choice of pregnancy with uterine scar and safety of vaginal delivery

目的:探讨瘢痕子宫再次妊娠分娩方式的选择及经阴道分娩的安全性。方法:收治瘢痕子宫产妇364例,分为阴道试产组与剖宫产组,比较两组效果。结果:80例产妇实施阴道试产,成功72例,成功率90%,其余292例产妇实施剖宫产术。阴道试产组平均出血量、住院时间均优于剖宫产组(P<0.05)。结论:在明确评估和掌握产妇阴道分娩指征基础上,全面监测产妇阴道分娩过程,能够提升阴道分娩的有效性与安全性。

Objective:To explore the delivery choice of pregnancy with uterine scar and safety of vaginal delivery.Methods:364 cases of pregnant women with uterine scar were selected.They were divided into the successful vaginal delivery group and the cesarean section group.We compared the effect of the two groups.Results:80 cases of pregnant women were given vaginal delivery.72 cases were successful,and the success rate was 90%.The remaining 292 cases received cesarean section.In the vaginal delivery group,the average amount of bleeding and hospitalization time were better than the cesarean section group(P<0.05).Conclusion:On the basis of clear assessment and grasp of the indications of vaginal delivery,comprehensive monitoring of vaginal delivery process can improve the efficacy and safety of vaginal delivery.