前次剖宫产史瘢痕子宫产妇应用气囊助产术辅助阴道分娩对产程及妊娠结局的影响

目的 分析前次剖宫产史瘢痕子宫产妇应用气囊助产术辅助阴道分娩对产程及妊娠结局的影响,以期为前次剖宫产史瘢痕子宫产妇的临床分娩提供参考依据。方法 对照组开展常规阴道分娩,观察组在对照组基础上应用气囊助产术辅助阴道分娩;比较两组分娩方式、产程及妊娠结局。结果 两组分娩方式、妊娠结局比较差异均无统计学意义(P＞0.05);但观察组第一产程时间、第二产程时间及总产程时间均显著低于对照组(P＜0.05)。结论 前次剖宫产史瘢痕子宫产妇应用气囊助产术辅助阴道分娩可有效缩短产程,且不增加中转剖宫产、产钳助产及不良妊娠结局风险,值得临床推广。

Effects of gasbag midwifery assisted vaginal delivery on labor process and pregnancy outcomes of puerperae with scarred uterus and previous history of cesarean section

Objective To analyze the effects of gasbag midwifery assisted vaginal delivery on labor process and pregnancy outcomes of puerperae with scarred uterus and previous history of cesarean section so as to provide a reference for clinical delivery of such women.Methods The control group underwent routine vaginal delivery, while the observation group underwent gasbag midwifery assisted vaginal delivery. The delivery mode, labor process and pregnancy outcomes were compared between the two groups.Results There was no significant difference in the delivery mode or pregnancy outcomes between the two groups (P>0.05). The first stage of labor, the second stage of labor and the total labor time of the observation group were significantly shorter than those of the control group (P<0.05).Conclusion Gasbag midwifery assisted vaginal delivery can effectively shorten the labor process of puerperae with scarred uterus and previous history of cesarean section, without increasing the risks of conversion to cesarean section, forceps delivery or adverse pregnancy outcomes.