瘢痕子宫再次妊娠分娩方式的选择

目的 探讨瘢痕子宫再次妊娠的分娩方式.方法 对167例瘢痕子宫再妊娠分娩进行回顾性分析,B超检测子宫下段瘢痕状态选择性阴道试产.结果 167例中,直接再次剖宫产94例,阴道分娩48例,试产后改行剖宫产35例.结论 瘢痕子宫再次妊娠,若无剖宫产指证,子宫下段瘢痕状态良好,可阴道试产.

Selection of labor modality for secondary pregnancy of women with cicatrical uterus

Objective To explore the appropriate labor modalities for secondary pregnancy of women with ci-catricial uterus. Methods 167 cases of cicatricial uterus who had secondary pregnancy were analyzed in a retrospec-tive way. The condition of eicatricial uterus's bottom was monitored by type B ultrasonic, then, vaginal delivery was an alternative option. Results Among them, 94 eases underwent cesarean section diretly, 48 cases selected vaginal delivery,35 cases were mandatory with cesarean section. Conclusion For those with cicatricial uterus having sec-ondary pregnancy, vaginal delivery will be an alternative option. If there is no underwent lesarean section and the bot-tom of cicatricial in good condition.