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目的:对瘢痕子宫再次妊娠产妇的分娩方式及相应处理方法进行分析。方法:选取我院于2011年1月～2013年5月收治瘢痕子宫再次妊娠产妇46例,回顾性分析患者临床资料与分娩方式。结果:46例产妇中行剖宫产手术患者41例,占比为89.13%;行阴道分娩5例,占比10.87%,所有患者均成功分娩。阴道分娩患者出血量显著低于剖宫产患者,平均住院时间与恶露赤血时间均明显短于剖宫产患者(P<0.05)。结论:瘢痕子宫再次妊娠主要分娩方式是剖宫产,但并非所有产妇均需行剖宫产,对有阴道分娩指征且与试产条件相符产妇,应以阴道分娩为首选分娩方式,对阴道试产可行性及安全性加以观察,促使患者在分娩时所受痛苦大幅减少。
Objective: To analyze the mode of delivery and corresponding treatment of pregnant women with scar pregnancy. Methods: Forty-six maternal pregnancies with uterine scar pregnancy in our hospital from January 2011 to May 2013 were retrospectively analyzed. The clinical data and mode of delivery were retrospectively analyzed. Results: Forty-six cases of cesarean section were performed in 41 cases, accounting for 89.13%. Five cases were delivered by vaginal delivery, accounting for 10.87%. All patients were successfully delivered. Vaginal delivery of patients with bleeding was significantly lower than that of patients with cesarean section, the average length of stay and lochia were significantly shorter than the red blood of patients with cesarean section (P <0.05). Conclusion: The main method of cesarean delivery of scar pregnancy is caesarean section, but not all mothers need cesarean section. For vaginal delivery indications and the conditions consistent with the trial production of mothers, vaginal delivery should be the preferred mode of delivery, the vagina Trial production feasibility and safety to be observed, prompting the patient suffered a substantial reduction in childbirth.