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目的研究分析瘢痕子宫再次妊娠采取阴道分娩的可行性和安全性。方法选取曾接受剖宫产术但此次妊娠有阴道分娩机会的62例瘢痕子宫妊娠产妇作为观察组,再选择未接受剖宫产术但此次妊娠有阴道分娩机会的62例瘢痕子宫妊娠产妇作为对照组,对比两组阴道分娩试产成功率、阴道分娩情况和产后并发症情况。结果观察组阴道分娩试产成功率低于对照组,差异有统计学意义(P<0.05);观察组产程时间、产时出血量、新生儿体质量、新生儿Apgar评分、住院时间、产后并发症与对照组相比,差异无统计学意义(P>0.05)。结论临床根据产妇具体情况进行严格产前检查,采用正确规范的助产手段,瘢痕子宫再次妊娠产妇采取阴道分娩完全可行,且不会提高产后并发症发生率。
Objective To study the feasibility and safety of taking vaginal delivery after scar pregnancy again. Methods Totally 62 cases of uterine scar pregnancy who had received cesarean delivery but had vaginal delivery were selected as the observation group and then selected 62 cases of uterine scar pregnancy who did not receive cesarean delivery but had the chance of vaginal delivery As a control group, the success rate of vaginal delivery trial, vaginal delivery and postpartum complications were compared between the two groups. Results The success rate of trial delivery in vaginal delivery in observation group was lower than that in control group (P <0.05). The production time, the amount of bleeding during labor, neonatal weight, neonatal Apgar score, length of hospital stay, Compared with the control group, the difference was not statistically significant (P> 0.05). Conclusions According to the specific conditions of the maternal women underwent prenatal examination strictly, adopting the proper normative midwifery method, it is feasible to take vaginal delivery in the pregnant women with scar uterine pregnancy again, and it will not increase the incidence of postpartum complications.