492例瘢痕子宫妊娠分娩结局临床分析

目的探讨瘢痕子宫孕妇妊娠分娩结局,了解瘢痕子宫再次妊娠分娩的并发症及风险,降低社会因素所致剖宫产率的飙升。方法对492例瘢痕子宫妊娠分娩结局及其相关因素进行回顾性对照分析。结果瘢痕子宫妊娠分娩方式基本为剖宫产,胎盘粘连甚至植入和前置胎盘发生率、子宫破裂率、再次剖宫产术中平均出血量、手术时间均高于非瘢痕子宫孕产妇。结论瘢痕子宫再次妊娠分娩风险明显提高,随着再次妊娠分娩人群增多,严格控制非医学指征剖宫产十分必要。

Clinical analysis about delivery results of scar uterus in 492 pregnant women

Objective To study the delivery results of scar uterus,the complications and risks of re-pregnant after cesarean delivery and to reduce the rising cesarean rate caused by the social factors.Methods The delivery results of 492 pregnant women with scar uterus and corresponding factors were reviewed and analyzed by retrospective comparative methods.Results The delivery ways of pregnant women with scar uterus mainly were taken cesarean delivery.Not only the incidence rates of placental adhesion,implantation and placental previa,but also the rates of uterine rupture and average amount of intraoperative bleeding in the recurred cesarean were higher than those of pregnant women without scar uterine.And the former's operation time was longer than that of the latter's.Conclusion The risks of re-pregnancy women with scar uterus are significantly raised.While the population of re-pregnant women is growing up,it is entirely necessary to strictly control the occurrence of cesarean section without medical signs.