气囊仿生助产术在剖宫产术后瘢痕子宫再次妊娠阴道分娩中的应用价值

Application value of balloon bionic midwifery in re-pregnancy vaginal delivery of scar uterus after cesarean section

目的探讨气囊仿生助产术在剖宫产术后瘢痕子宫再次妊娠阴道分娩中的应用价值。方法将我院收治的60例剖宫产术后瘢痕子宫再次妊娠产妇按照随机数字表法分为研究组和对照组,各30例。对照组采用常规阴道助产,研究组采用气囊仿生助产术,比较两组的分娩情况。结果研究组阴道分娩率明显高于对照组,剖宫产率及产钳助产率明显低于对照组(P<0.05)。研究组第一、第二产程及总产程时间均明显短于对照组(P<0.05)。研究组的产时出血量、产后2 h出血量均明显少于对照组(P<0.05)。研究组产妇的产后并发症总发生率及新生儿窒息率均明显低于对照组(P<0.05)。结论气囊仿生助产术在瘢痕子宫再次妊娠阴道分娩中具有良好效果,其可有效提高阴道分娩率,缩短产程时间,减少产时、产后出血量,保证产妇及新生儿的安全。

Objective To explore the application value of balloon bionic midwifery in re-pregnancy vaginal delivery of scar uterus after cesarean section. Methods A total of 60 cases re-pregnancy vaginal delivery of scar uterus after cesarean section in our hospital were divided into study group and control group by random number table method, with 30 cases in each group. The control group was given routine vaginal midwifery, while the study group was given balloon bionic midwifery. The delivery conditions of the two groups were compared. Results The vaginal delivery rate in the study group was significantly higher than that in the control group, and the cesarean section rate and forceps delivery rate were significantly lower than those in the control group(P<0.05). The first, second labors duration and total duration of labors in the study group were significantly shorter than those in the control group(P<0.05). The amount of intrapartum hemorrhage and 2 h postpartum hemorrhage in the study group were significantly less than those in the control group(P <0.05). The total incidence of postpartum complications and neonatal asphyxia rate in the study group were significantly lower than those in the control group(P <0.05). Conclusion Balloon bionic midwifery has a good effect in re-pregnancy vaginal delivery of scar uterus after cesarean section, which can effectively improve the vaginal delivery rate, shorten the duration of labor, reduce amount of intrapartum and postpartum hemorrhage, and ensure the safety of mothers and newborns.