疤痕子宫再妊娠阴道分娩的可行性分析

目的:通过对疤痕子宫再妊娠分娩产妇的临床资料进行回顾性分析,探讨疤痕子宫再妊娠阴道分娩的可行性。方法:回顾性分析我院2015年1月至2016年6月收治的疤痕子宫再妊娠分娩的110例产妇的病案资料,作为观察组,选取同期无疤痕子宫阴道分娩产妇40例作为对照组,对二者分娩结局进行对比研究。结果:两组阴道分娩产妇在出血量、产程时间、新生儿评分、住院天数等指标比较差异无统计学意义(P0.05);择期剖宫产出血量、住院天数明显高于阴道分娩(P0.05);疤痕子宫阴道试产成功和失败的比较,孕周、分娩次数、新生儿体重、出血量差异显著(P0.05)。结论:严格掌握阴道分娩的适应症,结合预测评分系统,对疤痕子宫产妇能否阴道分娩作出预测。符合条件的产妇,疤痕子宫阴道分娩是安全可行的。

Feasibility analysis of vaginal delivery for re-pregnancy with scar uterus

Objectives:To explore the feasibility of vaginal delivery for re-pregnancy with scar uterus through a retrospective analysis on the clinical data of puerperae of re-pregnancy with scar uterus.Methods:110 puerperae of re-pregnancy with scar uterus treated from January 2015 to June 2016 were selected as the observation group and 40 puerperae without scar uterus admitted during the same period were selected as the control group.The delivery outcome was compared between the two groups.Results:The differences in amount of intrapartum hemorrhage,duration of labor,neonatal apgar score and the length of hospital stay between the two groups were not statistically significant (P ＞ 0.05).The amount of intrapartum hemorrhage and the length of hospital stay of the puerperae in the observation group were more than those of the control group (P ＜ 0.05).Differences in gestational age,delivery times,newborn body weight and the amount of intrapartum hemorrhage between those succeed in vaginal delivery and those failed were significant (P ＜ 0.05).Conclusion:It is important to predict the success of vaginal delivery for re-pregnancy with scar uterus through strictly applying the indication of vaginal delivery and scoring system.For eligible puerperae,vaginal delivery is safe and feasible.