剖宫产瘢痕子宫再次妊娠分娩方式分析

Analysis of Delivery Mode of Cesarean Scar Uterus With Second Pregnancy

目的对剖宫产术后瘢痕子宫再次妊娠分娩方式的选择及经阴道分娩结局进行临床分析。方法回顾性分析我院2015年1月-2017年12月收治的剖宫产瘢痕子宫再次妊娠且经阴道分娩产妇40例、再次剖宫产分娩者40例的临床资料,分别设为阴道分娩组、再次剖宫产组,分析两组围产期指标及产后并发症发生情况数据差异。结果阴道分娩组产时出血量、产后2h出血量均显著低于对照组(P<0.05);阴道分娩组新生儿Apgar1min评分稍高于再次剖宫产组(P>0.05);阴道分娩组产后出血率、产褥感染率,新生儿窒息率均稍低于再次剖宫产组(P>0.05)。结论在瘢痕子宫再次妊娠选择分娩方式时,把握指征后选择阴道分娩的方式能够取得更加显著的效果,可以显著改善产妇的产后出血量,有较高的应用价值和推广价值。

Objective To analyze the choice of delivery mode of uterus scar pregnancy after cesarean section and the outcome of vaginal delivery. Methods A retrospective analysis of the clinical data of 40 cases of cesarean section scar uterus re-pregnancy and vaginal delivery and 40 cases of cesarean section delivery were performed in our hospital from January 2015 to December 2017. The vaginal delivery group and the cesarean section group were used to analyze the differences in perinatal index and postpartum complications between the two groups. Results The amount of bleeding during birth and the amount of bleeding after delivery were significantly lower in the vaginal delivery group than in the cesarean section group (P < 0.05). The Apgar 1 min score in the vaginal delivery group was slightly higher than that in the cesarean section group (P > 0.05). The vaginal delivery group postpartum hemorrhage rate, puerperal infection rate, neonatal asphyxia rate were slightly lower than the cesarean section group (P > 0.05).Conclusion In the scar uterus re-pregnancy selection of delivery mode, the choice of vaginal delivery after the indication can achieve more significant results, can significantly improve maternal postpartum hemorrhage and complication rate, has a higher application value and promotion value.