瘢痕子宫再妊娠经阴道分娩的可行性分析

Feasibility analysis of transvaginal delivery of scar uterine repregnancy

目的探析瘢痕子宫再妊娠经阴道分娩的可行性。方法选取2018年10月~2019年10月我院收治的92例瘢痕子宫再妊娠产妇作为研究对象,根据产妇分娩的方式不同分成两组,对照组46例产妇进行剖宫产分娩,观察组46例产妇进行阴道分娩,对两组产妇的分娩情况、新生儿情况、产程、并发症等指标进行观察比较。结果观察组产妇的产后出血量、住院费用低于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。两组新生儿Apgar评分、新生儿体重、产程比较,差异无统计学意义(P>0.05)。观察组产妇的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论瘢痕子宫再妊娠产妇在分娩时可选择阴道分娩,并且阴道分娩可以减少产妇的产后出血量,降低并发症的发生,有效缩短康复时间,应用价值较高。

Objective To analyze the feasibility of transvaginal delivery of scar uterine repregnancy.Methods A total of 92 pregnant women with scarred uterus who were admitted to our hospital from October 2018 to October 2019 were selected for study,and they were divided into two groups according to the way of maternal delivery.A total of 46 women in the control group were delivered by cesarean section,and 46 women in the observation group for vaginal delivery.The maternal delivery status,newborn status,labor time,complications and other indicators were compared between the two groups.Results The postpartum hemorrhage and hospitalization expenses of the observation group were lower than those of the control group,and the hospital stay was shorter than that of the control group,the differences were statistically significant(P<0.05).There were no statistically significant differences between the two groups of newborns in Apgar score,newborn weight,and labor(P>0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The pregnant women with scarred uterus can choose vaginal delivery during delivery,and vaginal delivery can reduce the amount of postpartum hemorrhage,reduce the occurrence of complications,effectively shorten the recovery time,and has high application value.