瘢痕子宫再次妊娠产妇经阴道分娩的效果分析

目的 探讨瘢痕子宫再次妊娠产妇经阴道分娩的临床效果.方法 100例瘢痕子宫再次妊娠产妇,按分娩方式不同分为阴道分娩组和再次剖宫产组,各50例.比较两组产妇的相关指标(出血量、住院时间及住院费用)、分娩成功情况、并发症发生情况、抗生素应用情况及新生儿Apgar评分、窒息情况.结果 阴道分娩组产妇出血量(135.83±24...

Analysis of the effect of vaginal delivery for pregnant women with scarred uterus

Objective To discuss the clinical effect of vaginal delivery for pregnant women with scarred uterus.Methods A total of 100 cases of pregnant women with scarred uterus were divided into vaginal delivery group and cesarean section group according to different delivery methods,with 50 cases in each group.Comparison were made on maternal surgery related indicators(operation time,blood loss,hospitalization time and hospitalization costs),successful delivery,complications,application of antibiotics and neonatal Apgar score,asphyxia between the two groups.Results The blood loss(135.83±24.84)ml and hospitalization cost(4012.83±317.82)yuan of the vaginal delivery group were less than(230.74±30.72)ml and(7549.855±86.92)yuan of the cesarean section group;the hospitalization time(2.93±0.41)d of the vaginal delivery group was shorter than(5.83±1.36)d of the cesarean section group;all the differences were statistically significant(P<0.05).There was no statistically significant difference in the delivery success rate and the incidence of massive hemorrhage between the two groups(P>0.05).The incidence of puerperal infection 0 and the antibiotic application rate 0 in the vaginal delivery group were lower than 14.00%and 14.00%of the cesarean section group,and the difference was statistically significant(P<0.05).The neonatal Apgar score(9.25±0.34)points of the vaginal delivery group was higher than(8.50±0.37)points of the cesarean section group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in neonatal asphyxia between the two groups(P>0.05).Conclusion Vaginal delivery in women with scarred uterus can effectively reduce the blood loss,decrease the incidence of puerperal infection,shorten the hospitalization time,and also effectively improve the Apgar score of newborns,which is worth promoting in clinical practice.