瘢痕子宫252例妊娠结局分析

目的探讨瘢痕子宫对孕产妇及围生儿结局的影响。方法回顾性分析妊娠超过28周的瘢痕子宫孕妇252例，根据不同的分娩方式对母婴结局进行分析。结果阴道分娩32例（12．7％），再次剖宫产220例（87．3％）；阴道分娩组和剖宫产组的孕周及新生儿出生体质量差异有统计学意义，两组新生儿低Apgar评分和产妇产后出血及产褥病率发生率差异元统计学意义。结论选择合适的剖宫产术后再妊娠的产妇，在严密的监护下阴道试产是安全的，再次剖宫产也相对安全。

Clinical analysis of pregnancy outcomes in 252 cases of scarred uterus pregnancy

Objective To investigate the effects of scarred uterus on maternal and neonatal outcomes.Methods Based on the delivery mode ,252 repregnant women in their third trimester after cesarean section were retrospectively reviewed and divided into two groups.Results The rate of vaginal delivery is 12.7% while the rate of the cesarean delivery is 87.3%.There are significant differences on gestational weeks and neanatal's birth-weight,however no significant differences on the Apgar,postpartum hemorrhage and puerperal morbidity between the two groups.Conclusion Vaginal delivery after previous cesarean section(s)is safe and so is the recurrent cesarean section after failed induction if there are proper patient selection and close monitoring.