全程管理对瘢痕子宫孕妇分娩结局的影响

Influence of the whole process management on the delivery outcome of pregnant uterine scar

目的探讨全程管理对瘢痕子宫孕妇分娩结局的影响,以期提高阴道分娩率。方法将孕早期瘢痕子宫孕妇350例随机分为观察组200例和对照组150例,对照组接受常规门诊孕检、住院分娩;观察组接受瘢痕管理小组全程管理。比较2组分娩情况。结果观察组满足试产条件、试产及阴道分娩的比例均明显高于对照组,产钳使用率低于对照组,产后大出血、新生儿窒息的发生率均明显低于对照组,差异均有统计学意义(P<0.05或P<0.01)。2组均无子宫破裂。结论对瘢痕子宫孕妇实施孕期、产时全程管理,可显著提高瘢痕子宫孕妇阴道试产率,改善分娩结局。

Objective To explore the influence of the whole process management on the delivery outcome of scar ute-rus,so as to improve the rate of vaginal delivery. Methods 350 cases of early pregnancy maternal uterine scar were randomly divided to observation group(200 cases)and control group(150 casers). Control group received routine outpatient pregnant ex-amination and hospital delivery;while observation group received whole management by pregnancy scar management team. Compared the childbirth of two groups. Results The proportion of meets the conditions of the trial production,trial production and vaginal delivery of observation group were significantly higher than control group,the forceps utilization rate,the incidence of postpartum hemorrhage,neonatal asphyxia were significantly lower than control group,the difference was statistically signifi-cance(P ﹤ 0. 05 or P ﹤ 0. 01). There were not uterine rupture in two groups. Conclusion Implementation of the maternal u-terine scar pregnancy and birth in the whole process of management,can significantly improve the uterine scar pregnancy vagi-nal delivery rate and improve birth outcomes.