不同分娩方式对前次剖宫产后疤痕子宫再次妊娠的影响分析

Analysis of the influence of different delivery methods on the re-pregnancy of the scarred uterus afterthe previous cesarean section

目的分析不同分娩方式对前次剖宫产后疤痕子宫再次妊娠的影响。方法120例前次剖宫产后疤痕子宫产妇,按照分娩方式不同分为观察组(55例)和对照组(65例)。观察组采用阴道分娩,对照组采用剖宫产分娩。比较两组产妇不良事件发生率、产后24 h出血量、住院时间、数字疼痛评分法(NRS)评分。结果观察组的不良事件发生率9.09%低于对照组的24.62%,差异有统计学意义(P<0.05)。观察组产后24 h出血量(356.32±18.64)ml少于对照组的(487.05±28.67)ml、住院时间(3.42±1.25)d短于对照组的(5.32±1.03)d、NRS评分(3.34±1.28)分低于对照组的(5.64±1.67)分,差异有统计学意义(P<0.05)。结论在前次剖宫产疤痕子宫产妇再次妊娠分娩时,经阴道试产成功可采取阴道分娩方式分娩,其出现不良事件的可能性在可控的范围之内,可以减少产后出血量,缩短住院时间,减轻产妇的疼痛。

Objective To analyze the influence of different delivery methods on the re-pregnancy of the scarred uterus after the previous cesarean section.Methods A total of 120 cases of women with scarred uterus after the previous cesarean section were divided into observation group(55 cases)and control group(65 cases)according to different delivery methods.The observation group was delivered by vaginal delivery,and the control group was delivered by cesarean section.The incidence of adverse events,24 h postpartum blood loss,hospitalization time and numerical rating scale(NRS)score were compared between the two groups.Results The incidence of adverse events 9.09%of the observation group was lower than 24.62%of the control group,and the difference was statistically significant(P<0.05).The 24 h postpartum blood loss(356.32±18.64)ml of the observation group was less than(487.05±28.67)ml of the control group,hospitalization time(3.42±1.25)d was shorter than(5.32±1.03)d of the control group,and NRS score(3.34±1.28)points was lower than(5.64±1.67)points of the control group.All the difference was statistically significant(P<0.05).Conclusion For re-pregnancy women with the scarred uterus after the previous cesarean section,vaginal delivery can be adopted if the trial production is successful.The possibility of adverse events is within a controllable range,which can reduce postpartum bleeding and shorten the hospitalization time,and relieve maternal pain.