瘢痕子宫再次妊娠母儿结局及分娩方式选择的临床分析

Clinical analysis of the outcome and delivery mode of the second pregnancy of the scarred uterus

目的:总结瘢痕子宫再次妊娠母儿结局及分娩方式的合理选择。方法:2017年3月-2019年3月收治瘢痕子宫再次妊娠产妇100例,按分娩方式不同分为两组,各50例。A组采用阴道试产分娩;B组采用剖宫产分娩。比较两组母婴结局。结果:A组阴道试产成功率为82.00%;A组产后出血量、产后感染率、住院时间均低于B组,差异有统计学意义(P<0.05);两组新生儿Apgar评分和体质量比较,差异无统计学意义(P>0.05)。结论:对符合阴道分娩适应证的瘢痕子宫再次妊娠产妇,可首选阴道试产分娩,不仅可以减少产后出血,降低产后感染率,且能缩短住院时间,保证新生儿安全。

Objective:To summarize the reasonable choice of the outcome and delivery mode of the second pregnancy of the scarred uterus.Methods:From March 2017 to March 2019,100 patients with the second pregnancy of scarred uterus were selected,and they were divided into two groups with 50 cases in each group according to the mode of delivery.Group A was treated with vaginal delivery.Group B was treated with cesarean delivery.We compared the maternal and infant outcomes of the two groups.Results:The success rate of vaginal trial in group A was 82.00%.In group A,the amount of postpartum hemorrhage,the rate of postpartum infection and the length of stay were lower than those in group B,the difference was statistically significant(P<0.05).There was no significant difference in Apgar score and body weight between the two groups(P>0.05).Conclusion:Vaginal delivery is the first choice for women of the second pregnancy of scarred uterus with vaginal delivery indications,it can not only reduce postpartum hemorrhage and postpartum infection rate,but also shorten hospital stay and ensure the safety of newborns.