瘢痕子宫再次妊娠阴道分娩36例治疗体会

Treatment experience of 36 cases of re-pregnancies in scarred uterus with vaginal delivery

目的:分析瘢痕子宫再次妊娠阴道分娩的结局。方法:收治瘢痕子宫再次妊娠产妇72例,分为两组。对照组采用剖宫产,研究组采用阴道分娩,比较两组分娩结局及并发症发生情况。结果:研究组分娩时间、出血量、住院时间优于对照组,差异具有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异具有统计学意义(P<0.05)。研究组成功阴道分娩26例(72.2%),对照组剖宫产分娩率100.0%。结论:瘢痕子宫再次妊娠产妇阴道分娩并发症发生率较低,妊娠结局较好。

Objective:To analyze the outcome of vaginal delivery for re-pregnancies in scarred uterus.Methods:72 cases of women with re-pregnancies in scarred uterus were divided into two groups.The control group adopted cesarean section,and the research group adopted vaginal delivery.The outcomes and complications of the two groups were compared.Results:The delivery time,blood loss,hospital stays in the research group were better than those in the control group,and the differences were statistically significant (P<0.05).The incidence of complications in the research group was lower than that in the control group,and the difference was statistically significant (P<0.05).26 cases in the research group had successful vaginal delivery(72.2%) and the cesarean delivery rate in the control group was 100% .Conclusion:The incidence of complications of vaginal delivery in women with re-pregnancies in scarred uterus was lower,and the outcome of pregnancy was better.