瘢痕子宫再次妊娠分娩的风险及再次行剖宫产术的相关指标探究

The risk of scar uterus pregnancy again and related indicators of cesarean section again

目的探究瘢痕子宫再次妊娠分娩的风险及再次行剖宫产术的相关指标。方法研究选取2016年6月~2017年6月于我院妇产科住院治疗的孕足月的瘢痕子宫且再次妊娠分娩的孕妇180例,采取随机数字表法将其分为自然临产组和剖宫产组,每组90例。自然临产组不给予临床干预产程。剖宫产组给予剖宫产手术。分别追踪观察两组出血量、产后24h出血量、产妇住院天数、产后恶露持续时间及新生儿相关指标。结果自然临产组产时出血量、产后24h出血量、产妇住院天数、产后恶露持续时间均明显少于剖宫产组,且两组差异比较均有统计学意义(P<0.05)。自然临产组新生儿Apgar评分明显高于剖宫产组,新生儿窒息发生率明显低于剖宫产组,两组比较差异均有统计学意义(P<0.05)。两组新生儿体重差异无统计学意义(P>0.05)。结论对于瘢痕子宫再次妊娠的孕妇经阴道分娩,严格把握阴道试产指征,严密监测其产程是安全可行的。

Objective To explore the risk of scar uterus pregnancy again and related indicators of cesarean section again.Methods A total of 180 pregnant women with full-term scar uteruswho were hospitalized in the obstetrics and gynaecology department of our hospital from June 2016 to June 2017 and who were born again in pregnancy were selected.Random number table was used to divide them into natural labor group and cesarean section group,with 90 cases in each group.The natural labor group did not give clinical intervention to the labor process.The cesarean section group was given cesarean section.The bleeding volume of the two groups,the 24 hours postpartum hemorrhage volume,the days of hospitalization of the parturient,the duration of postpartum lochia and the related indicators of the newborn were followed up and observed respectively.Results The bleeding volume of the two groups,the 24 hours postpartum hemorrhage volume,the days of hospitalization of the parturient,the duration of postpartum lochia in the natural labor group were significantly less than those in the cesarean section group,and the difference between the two groups was statistically significant(P<0.05).The Apgar score of newborns in the natural labor group was significantly higher than that in the cesarean section group,and the incidence of neonatal asphyxia was significantly lower than that in the cesarean section group,the difference between the two groups was statistically significant(P<0.05).There was no significant difference in weight between the two groups(P>0.05).Conclusion It is safe and feasible to strictly grasp the indications of vaginal trial delivery and closely monitor the stage of labor for pregnant women who are pregnant again with scar uterus.