瘢痕子宫再次妊娠分娩方式选择的效果观察

目的探讨瘢痕子宫再次妊娠的合理分娩方式,减少母婴近期和远期并发症。方法对该院近3年来收治的168例剖宫产术后再次足月妊娠孕妇按分娩方式分为阴道试产组（观察组）48例和择期剖宫产术组（对照组）120例。对比分析两种分娩方式术中及术后并发症、产后出血、新生儿并发症等发生情况。结果观察组48例阴道试产成功42例,成功率为87.5%,未发现子宫破裂现象;术中及术后并发症、产后出血发生率低于对照组（P均〈0.05）;住院时间短于对照组（P〈0.01）;住院费用也少于对照组（P〈0.01）。结论阴道分娩具有无术后并发症、产后出血发生率低、住院时间短、住院费用少等优点,瘢痕子宫再次妊娠在符合试产条件下实施阴道分娩是可行和安全的。

Clinical analysis on delivery mode selection of uterine scar pregnancy

Objective To analyze the reasonable mode of delivery of uterine scar pregnancy,and reduce maternal and infant complications.Methods A retrospective analysis of the mode of delivery in 168 cases of fullterm pregnancy after cesarean section were performed,including vaginal delivery 48 cases（observation group）,cesarean section in 120 cases（control group）.Results In 48 cases of vaginal delivery trial production obtained success in 42 cases,the success rate was 87.5%,without rupture of the uterus;The incidence rates of the postpartum hemorrhage,the intraoperative and postoperative complication in observation group were lower than those in control group（P all ＆lt;0.05）.The expense and time of hospitalization in observation group were less than those in control group（P all ＆lt;0.01）.Conclusion For uterine scar pregnancy,implementation of vaginal delivery in accordance with the trial production conditions is feasible and safe.