瘢痕子宫再次妊娠分娩方式及妊娠结局116例分析

Analysis of delivery mode and pregnancy outcome of 116 cases of scar uterus re pregnancy

目的探讨瘢痕子宫再次妊娠的分娩方式及妊娠结局。方法对116例瘢痕子宫再次妊娠孕产妇的临床资料进行回顾性分析,并以122例非瘢痕子宫孕产妇为对照。结果瘢痕子宫组顺产分娩产时出血量明显低于剖宫产(P<0.05),但是剖宫产分娩出血量明显多于非瘢痕子宫孕产妇(P<0.05)。瘢痕子宫组顺产分娩并发症高于非瘢痕子宫组,但差异无统计学意义(P>0.05)。瘢痕子宫组顺产分娩住院天数和非瘢痕子宫分娩相当(P>0.05),且明显短于剖宫产分娩(P<0.05);瘢痕子宫组剖宫产分娩者住院天数明显长于非瘢痕子宫组,差异有统计学意义(P<0.05)。结论瘢痕子宫二次妊娠阴道分娩具有一定的安全性和可行性,但是对于设施设备、技术力量相对薄弱的医疗机构,仍然要综合考虑顺产分娩的优势和风险。

Objective To explore the mode of delivery and outcome of pregnancy with scar uterus. Methods The clinical data of 116 pregnant women with scar uterus were analyzed retrospectively, and made 122 cases of non scar uterus as control. Results The amount of bleeding in the cicatricial uterus group was significantly lower than that of cesarean section (P<0.05),but the amount of bleeding in cesarean section was more than that of the non scar uterus (P<0.05).The complications of spontaneous delivery in scar uterus group were higher than those in non scar uterus group, but the difference was not statistically significant (P>0.05).The number of hospitalized days in the cicatricial uterus group was equal to that of the non scar uterus (P>0.05), but it was significantly shorter than the cesarean section (P<0.05). The number of hospitalized days in the caesarean section of the scar uterus group was significantly longer than that in the non scar uterus group, the difference was statistically significant (P<0.05).Conclusion The vaginal delivery in the two pregnancy of scar uterus is safe and feasible,but it is still necessary to consider the advantages and risks of parturition and childbirth in the institutions with relatively weak facilities and technical strength.