剖宫产术后再次妊娠间隔时间对妊娠结局影响的研究进展

Research Progress on Effect of Interval Time of Re-Pregnancy on Pregnancy Outcome after Cesarean Section

随着2016年1月1日我国全面实施“二孩”政策后,中国经产妇的数量明显增加,中国的高剖宫产率所带来的瘢痕子宫再次妊娠时机及分娩相关问题日趋突出。越来越多第一胎以剖宫产终止妊娠的家庭将面临再次生育的问题,增加了瘢痕子宫再次妊娠相关的短期和长期并发症,由此带来的母婴不良妊娠结局也会增加,预测和管理瘢痕子宫再次妊娠的并发症变得相当重要。本综述,将从剖宫产术后不同妊娠间隔(Interpregnancy interval, IPI)的经产妇的妊娠结局以及母儿并发症两个方面进行探讨,希望能发现瘢痕子宫再次妊娠的适宜时机,降低母婴并发症的发生率。以利于产科医生为剖宫产术后有继续妊娠意愿的妇女提供有关妊娠间隔的指导,旨在为产科及相关科室应对瘢痕子宫再次妊娠时机有更好的对策。

With the full implementation of the “two-child” policy in China on January 1, 2016, the number of pregnant women in China has increased significantly, and the timing of scar uterus pregnancy and childbirth related problems caused by the high cesarean section rate in China are becoming more and more prominent. More and more families with the first child terminating pregnancy by cesarean section will face the problem of re-birth, increasing the short-term and long-term complications associated with scar uterus re-pregnancy, and the resulting adverse pregnancy outcomes will also increase. It is important to predict and manage the complications of scar uterus re-pregnancy. According to this review, the pregnancy outcome and maternal and child complications of different pregnancy intervals (Interpregnancy interval, IPI) after cesarean section will be discussed, hoping to find the appropriate time for scar uterus to re-pregnancy and reduce the incidence of maternal and child complications. In order to facilitate obstetricians to provide guidance on pregnancy spacing for women who have the intention to continue pregnancy after cesarean section, the purpose of this paper is to provide better countermeasures for obstetrics and related departments to deal with the timing of scar uterus pregnancy again.