瘢痕子宫再次妊娠经阴道分娩的临床效果及安全性研究

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英文篇名：Research on clinical curative effect and safety of vaginal delivery for second pregnancy with scarred uterus 作者：周奕 ; 彭锦燕 ; 黎雪丽 英文作者：ZHOU Yi;PENG Jinyan;LI Xueli;Department of Obstetrics and Gynecology, Dongguan Dongcheng Hospital; 关键词：瘢痕子宫 ; 再次妊娠 ; 经阴道分娩 ; 安全性 英文关键词：Scarred uterus;;Second pregnancy;;Vaginal delivery;;Security 中文刊名：GYKX 英文刊名：China Medicine and Pharmacy 机构：广东省东莞市东城医院妇产科; 出版日期：2019-04-25 出版单位：中国医药科学 年：2019 期：v.9;No.200 语种：中文; 页：GYKX201908028 页数：4 CN：08 ISSN：11-6006/R 分类号：107-109+128

摘要

目的研究瘢痕子宫再次妊娠经阴道分娩的临床效果及安全性。方法选择我院2016年8月～2018年7月中的50例瘢痕子宫再次妊娠经阴道分娩患者为观察组,选取同期足月经阴道分娩的初产妇50例为对照组,比较两组分娩结局。结果观察组总产程、第一产程、第二产程、第三产程均明显短于对照组(P <0.05);观察组、对照组分娩时出血量以及新生儿5分钟Apgar评分比较,差异无统计学意义(P> 0.05);观察组产后出血率为6.00%,对照组产后出血率为4.00%,两组产后出血率比较,差异无统计学意义(P> 0.05);观察组胎盘粘连、子宫破裂、新生儿窒息发生率分别为8.00%、2.00%、4.00%,略高于对照组4.00%、0、2.00%,差异无统计学意义(P> 0.05)。结论瘢痕子宫再次妊娠经阴道分娩不会增加产后并发症,只要患者符合试产条件,应该进行充分试产,以减少剖宫产率,保证母婴安全。
        Objective To study the clinical curative effect and safety of vaginal delivery for second pregnancy with scarred uterus. Methods Fifty patients undergoing vaginal delivery for second pregnancy with scarred uterus in our hospital from August 2016 to July 2018 were selected as the observation group.50 parturient women undergoing vaginal delivery after full term during the same period were selected as the control group.Delivery outcomes of the two groups were compared. Results The total labor,first stage of labor,second stage of labor and third stage of labor of the observation group were all significantly shorter than those of the control group,P < 0.05.There was no significant difference in blood loss in delivery and the Apgar score in 5 minutes of neonates between the observation group and control group,P > 0.05.The postpartum hemorrhage rate of the observation group was 6.00%,and that of the control group was 4.00%.The difference in postpartum hemorrhage rate of the two groups had no statistical significance,P > 0.05.The incidence of placental adhesion,uterine rupture and neonatal asphyxia in the observation group was 8.00%,2.00% and 4.00%,respectively,slightly higher than those in the control group(4.00%,0 and 2.00%),but the difference was not statistically significant,P > 0.05. Conclusion Vaginal delivery for second pregnancy with scarred uterus will not increase postpartum complications.As long as the patient meets the condition of trial birth,sufficient trial birth should be carried out to reduce cesarean delivery rate and ensure the safety of mother and baby.

引文

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