探究瘢痕子宫再妊娠孕妇经阴道分娩的临床产程分析

目的：对瘢痕子宫再妊娠孕妇行阴道分娩方式的临床产程进行观察,并对其临床效果进行探究。方法方便选取该院从2012年3月-2016年3月期间收治的68例瘢痕子宫再妊娠患者,采用随机数字表法的形式将68例患者平均分为实验组和参照组,每组患者34例,对两组产妇临床情况进行回顾性分析。结果对比分析两组瘢痕子宫再妊娠孕妇住院时间、生产时间以及出血量等指标以及患者手术后子宫破裂和产后发热的情况,可以发现实验组患者子宫破裂率为0,产后发热率为3.03%；参照组子宫破裂率为11.76%,产后发热率为20.58%,实验组产后发热率和子宫破裂率均明显低于参照组,P<0.05,差异有统计学意义。结论将阴道分娩应用在瘢痕子宫再妊娠孕妇生产中可以明显提升生产效率,降低并发症发生几率和产后出血量,减少生产时间和住院时间,能够提高患者和家属生活质量,降低产妇遭受再次剖宫产的危险和负担。

Clinical Observation on the Clinical Course of Vaginal Delivery in Pregnant Women with Scar Uterus

Objective To observe the clinical course of vaginal delivery in the pregnant women with scar uterus, and to ex-plore the clinical effect. Methods Convenient selection our hospital from March 2012 to March 2016 were treated 68 cases of uterine scar pregnancy patients, will 68 patients were divided into the experimental group and the reference group with random number table method, 34 cases of patients in each group. Of the women in the two groups clinical situation were retrospective analysis. Results In the comparative analysis of two groups of uterine scar pregnancy again hospitalization time, production time and the amount of bleeding index and after surgery in patients with uterine rupture and post partum fever situation, can be found in the experimental group patients with uterine rupture rate was 0, postpartum fever rate was 3.03%; referring to the group of uterine rupture rate is 11.76%, postpartum fever rate was 20.58%, the experimental group of puerperal fever rate and uterine rupture rate were significantly lower than that of the reference group, P<0.05, there was statistically significant. Conclusion The application of vaginal delivery in uterine scar pregnancy pregnant women in the production can be improved significantly production efficiency, reduce the probability and the amount of postpartum bleed-ing complications, reduce production time and hospitalization time, can improve the patient and family life quality, reduce maternal suffered again cesarean section of the risk and burden.