瘢痕子宫再次妊娠早产经阴道分娩的可行性以及对母婴结局的影响

Feasibility of vaginal delivery of preterm labor with scarred uterus and its impact on maternal and infant outcomes

目的探讨瘢痕子宫(SU)再次妊娠早产经阴道分娩的可行性及对母婴结局的影响。方法选取2015年1月~2018年1月我院收治的剖宫产SU再次妊娠早产产妇68例(进行阴道分娩)作为观察组,对照组为同期选取的50例经阴道分娩后再次妊娠进行阴道分娩的早产产妇,比较两组分娩情况及母婴结局情况。结果观察组产程时间为(15.11±0.69)h、住院时间为(6.32±1.63)d,明显长于对照组的(4.43±0.32)h、(2.35±1.12)d,(P<0.05)。观察组产后2h出血量为(213.27±30.05)ml,明显多于对照组的(150.43±20.04)ml,差异有统计学意义(P<0.05);两组新生儿出生后神经行为功能评分、Apgar评分、新生儿体重及并发症发生情况比较,差异无统计学意义(P>0.05)。结论SU再次妊娠早产经阴道分娩的安全性较高,值得大力推广使用。

Objective To analyze the feasibility of vaginal delivery of premature delivery in scar uterus (SU) with second pregnancy and its effect on maternal and infant outcomes. Methods A total of 68 cases of premature women with cesarean SU who treated in our hospital from January 2015 to January 2018 were selected as the observation group, and 50 cases of premature women who pregnant again after vaginal delivery were selected as the control group during the same period. The delivery situation and maternal and infant outcomes of the two groups were compared. Results The duration of labor and hospitalization in the observation group were (15.11±0.69) h and (6.32±1.63) d, which were significantly longer than those in the control group ([4.43±0.32] h) and ([2.35±1.12] d)(P<0.05). The amount of postpartum bleeding in the observation group ([213.27±30.05] ml) was significantly more than that in the control group ([150.43±20.04] ml), the difference was statistically significant (P<0.05). There was no significant difference in neurobehavioral function score, Apgar score, neonatal weight and complications after birth (P>0.05). Conclusion The safety of vaginal delivery of preterm labor with SU is high, and it is worth popularizing.