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目的探讨子宫疤痕妊娠发生的预防措施。方法收集福建省妇幼保健院2008年1月至2011年12月收治的90例子宫疤痕妊娠的资料,分析患者文化程度、从事职业及采取的避孕措施等,探讨预防措施。结果子宫疤痕妊娠患者文化程度初中及以下占44.4%,高中及中专占27.8%;职业为家务占66.7%,未采取任何避孕措施者占53.0%。结论针对患者文化程度较低,家务者居多和未采取避孕措施者较多的现状,应采取个性化及针对性的避孕健康指导,让患者获得预防再次妊娠的知识和方法;医生应严格掌握剖宫产指征,减少疤痕子宫的产生,应在剖宫产前告知可能发生的远期并发症。
Objective To investigate the prevention of uterine scar pregnancy. Methods The data of 90 cases of uterine scar pregnancy collected from January 2008 to December 2011 in Fujian Maternal and Child Health Hospital were collected, and their cultural level, occupation and contraceptive measures were collected to explore preventive measures. Results The uterine scar pregnancy rate of junior high school education accounted for 44.4% and below, high school and technical secondary school accounted for 27.8%; occupation as household tasks accounted for 66.7%, did not take any contraceptive measures accounted for 53.0%. Conclusion In view of the current situation of patients with low educational level, the majority of domestic workers and no contraceptive measures, personalized and targeted contraceptive health guidance should be adopted so that patients can get the knowledge and methods of preventing pregnancy again. Indications of uterus, reduce the production of uterine scar should be informed of possible long-term complications before cesarean section.