论文部分内容阅读
目的:探讨瘢痕子宫再次妊娠不同分娩方式对孕产妇及新生儿的影响。方法:选取2011年6月~2012年6月间该院妇产科收治有剖宫产史的再次妊娠孕妇571例,对采用不同分娩方式的孕妇分为阴道分娩组和剖宫产组,对两组患者的产后出血、产褥感染、子宫破裂、新生儿窒息情况进行对比研究。结果:571例瘢痕子宫再次妊娠孕妇中择期剖宫产386例;经阴道试产185例,其中阴道分娩157例,试产成功率为84.86%;阴道分娩组产后出血、产褥感染比例明显低于剖宫产组,差异有统计学意义(P<0.05或P<0.01);两组间子宫破裂和新生儿窒息发生率差异均无统计学意义(P>0.05)。结论:具备阴道分娩条件的瘢痕子宫再次妊娠孕妇均可进行阴道试产,阴道分娩可有效减少孕妇产后出血量并降低产褥感染的发生率且不会增加新生儿窒息的风险。
Objective: To investigate the effect of different modes of delivery on maternal and newborn after scar pregnancy. Methods: From June 2011 to June 2012, 571 pregnant women of the second pregnancy with obstetrics and gynecology admitted to the department of obstetrics and gynecology were divided into vaginal delivery group and cesarean section group. Two groups of patients with postpartum hemorrhage, puerperal infection, uterine rupture, neonatal asphyxia comparative study. Results: Among 571 cases of uterine scar pregnancy, 386 cases were elective cesarean section, 185 cases were vaginal trial, 157 cases were vaginal delivery, the success rate of trial production was 84.86%. The rate of postpartum hemorrhage and puerperal infection in vaginal delivery group was significantly lower In the cesarean section group, the difference was statistically significant (P <0.05 or P <0.01). There was no significant difference in the incidence of uterine rupture and neonatal asphyxia between the two groups (P> 0.05). CONCLUSION: Vaginal pregnancy can be carried out in pregnant women with vaginal delivery of uterine scar pregnancy. Vaginal delivery can effectively reduce postpartum hemorrhage and reduce the incidence of puerperal infection without increasing the risk of neonatal asphyxia.