瘢痕子宫再次妊娠97例分娩方式分析

目的分析探讨瘢痕子宫再次妊娠分娩方式的选择。方法回顾性分析我院2007年1月至2009年1月收治97例瘢痕子宫妊娠孕妇以及同期92例无剖宫产史妊娠孕妇,对不同分娩方式进行观察指标对比。结果瘢痕子宫阴道分娩产妇与无剖宫史阴道分娩产妇其新生儿Apger评分、产程、出血量对比,没有显著性差异（P＞0.05）;瘢痕子宫再次剖宫产与无剖宫产史剖宫产比较,其新生儿Apger评分无显著性差异（P＞0.05）,但术中平均出血量以及术中出血发生率明显高于初次剖宫产患者,具有显著性差异（P＜0.05）;瘢痕子宫妊娠孕妇,再次剖宫产与阴道分娩比较,新生儿Apger评分无显著性差异（P＜0.05）,但平均出血量比较差异显著（P＜0.01）,具有统计学意义。结论瘢痕子宫再次妊娠分娩方式中,阴道分娩与再次剖宫产相比,利大于弊。在瘢痕子宫妊娠产妇符合适应证的前提下,应鼓励阴道分娩,同时试产过程中要严密监护观察,尽早发现问题及时处理。

Scarred Uterus Pregnancy by Mode of 97 Cases of Childbirth

Objective It is analysis of scarred uterus pregnancy the choice of delivery mode. Methods Retrospective analysis of our hospital in January 2007-January 2009 treated 97 cases of uterine scar pregnancy, and pregnant women in the same period 92 cases of pregnant women without history of cesarean section, delivery of different ways to observe the contrast indexes. Results Vaginal delivery maternal uterine scar and caesarean no maternal history of vaginal delivery of their newborn Apger score, stage of labor, amount of bleeding contrast, no significant difference （P〉0.05）; again cesarean section uterine scar and non-cesarean section History of cesarean section compared with their newborn Apger score no significant difference （P〉0.05）, but the average amount of bleeding during operation, as well as the incidence of bleeding was significantly higher than the initial cesarean section patients, with significant difference （P〈0.05）; scar pregnancy pregnant women, again cesarean section compared with vaginal delivery, neonatal Apger score was no significant difference （P〈0.05）, but the difference between the average amount of bleeding significantly （P〈0.01）, with statistical significance. Conclusion Uterine scar pregnancy mode again, the vaginal delivery compared with cesarean section once again, the advantages outweigh the disadvantages. Uterine scar pregnancy in women under the premise in line with the indications, vaginal delivery should be encouraged, the process of trial production at the same time care should be observed in time to deal with the issue of early detection.