瘢痕子宫再次妊娠者对分娩方式认知与选择的影响因素分析

目的了解瘢痕子宫再次妊娠者对分娩方式的认知与选择的主要影响因素。方法自行设计调查问卷,对279例瘢痕子宫再次妊娠且选择剖宫产分娩的孕妇进行问卷调查。结果 69.9%调查对象不知道瘢痕子宫阴道分娩成功率,78.5%不知道瘢痕子宫阴道分娩发生子宫破裂的概率,67.7%认为重复性剖宫产恢复时间比瘢痕子宫阴道分娩恢复要慢,分别有55.9%、58.1%、79.9%调查对象认为重复性剖宫产将增加母体脏器损伤、产后感染及产后出血的风险。调查对象选择再次重复性剖宫产术最重要的考虑因素为自身安全、新生儿安全及医护人员的建议,次重要因素为丈夫的意见。结论瘢痕子宫再次妊娠者对分娩方式的认知不全面,在选择分娩方式时最重要的影响因素为母婴安全及医护人员的建议。

Influencing factors analysis on cognition and choice on delivery mode of uterine scar repregnancy

Objective To study the influencing factors on cognition and choice on delivery mode of uterine scar repregnancy.Method Investigate 279 uterine scar repregnancy puerperants undergoing cesarean section by self-designed questionnaire.Result 69.9% puerperants don't know success rate of scar uterus vaginal delivery.78.5% puerperants don't know the incidence of uterine rupture during scar uterus vaginal delivery.67.7% puerperants think repeated cesarean section has longer rehabilitation time than scar uterus vaginal delivery.55.9%, 58.1% and 79.9% puerperants think repeated cesarean section will increase the risks of organ injury, puerperal infections and postpartum hemorrhage.The most important factors on choice of repeated cesarean section are self-safety, newborn's safety and professional advice.Husband's opinion is less important.Conclusion Uterine scar repregnancy puerperants choosing repeated cesarean section don't have complete cognition on delivery mode.The most important factors on choice of repeated cesarean section are their own safety, newborn's safety and professional advice.