剖宫产后瘢痕子宫再次妊娠选择经阴道分娩的可行性分析

The Feasibility Analysis of Vaginal Delivery for the Second Pregnancy of Scar Uterus after Cesarean Section

目的:分析剖宫产后瘢痕子宫再次妊娠选择经阴道分娩优劣,分析可行性。方法:回顾性分析2018年3月~2019年3月某院剖宫产后瘢痕子宫再次妊娠选择经阴道分娩75例纳入观察组,选择同期收治的剖宫产对象75例纳入对照组,对比妊娠结局指标。结果:观察组产后2h出血量、产后24h出血量、住院时间低于对照组,差异有统计学意义(P<0.05);观察组产后并发症发生率低于对照组、48h纯母乳喂养率高于对照组,差异有统计学意义(P<0.05)。结论:剖宫产后瘢痕子宫再次妊娠选择经阴道分娩是可行的,其可以减少出血,降低并发症发生风险,对围生期的预后影响不显著,还能提高纯母乳喂养率。

Objective:To analyze the advantages and disadvantages of vaginal delivery for the second pregnancy of scar uterus after cesarean section and analyze the feasibility.Methods:Retrospective analysis:75 cases of patietns choosing vaginal delivery for the second pregnancy of scar uterus after cesarean section in a hospital from March 2018 to March 2019 were selected as the observation group,and the other 75 cases of patients with clinical characteristics choosing cesarean section in the same period were selected as the control group,then the pregnancy outcome indicators were compared.Results:The amount of 2 hours postpartum hemorrhage,24 hours postpartum hemorrhage and hospitalization time in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of postpartum complications in the observation group was lower than that in the control group,and the rate of pure breast-feeding at 48h was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:It is feasible to choose vaginal delivery for the second pregnancy of scar uterus after cesarean section,which can reduce the bleeding and the risk of complications,has no significant effect on the prognosis of perinatal period,and can improve the rate of exclusive breastfeeding.