| 摘要: |
| ［摘要］ 目的 探讨瘢痕子宫再次妊娠阴道分娩的结局与可行性。方法 选取2017-01～2017-12该院收治的52例瘢痕子宫再次妊娠阴道试产患者作为观察组，选择同期于该院进行阴道分娩的健康产妇52名作为对照组。观察瘢痕子宫患者的分娩方式，对比两组产妇产程时间、失血量、住院时间、产后感染与尿潴留的发生率，以及两组新生儿Apgar评分。结果 两组产妇产程时间、失血量及住院时间比较差异无统计学意义（P>0.05）。观察组阴道分娩成功率(90.38%)与对照组(100.00%)比较差异无统计学意义（P>0.05）。两组新生儿1 min Apgar评分、产后感染及尿潴留发生率比较差异均无统计学意义（P>0.05）。结论 瘢痕子宫不是剖宫产的绝对指征，只要严格控制分娩适应证与禁忌证，完善各项监护工作，再次阴道分娩安全可行。 |
| 关键词: 瘢痕子宫 再次妊娠 阴道分娩 结局 可行性 |
| DOI：10.3969/j.issn.1674-3806.2019.08.19 |
| 分类号:R 714 |
| 基金项目: |
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| Outcome and feasibility of vaginal delivery in patients with secondary pregnancy and scarred uterus |
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ZHU Qi, CAO Yong-li, LI Juan
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Department of Obstetrics, the Maternal and Child Care Service Centre in Longgang District, Shenzhen City, Guangdong 518172, China
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| Abstract: |
| ［Abstract］ Objective To explore the outcome and feasibility of vaginal delivery in the patients with secondary pregnancy and scarred uterus. Methods Fifty-two patients with secondary pregnancy and scarred uterus who tried to deliver through the vagina in our hospital from January 2017 to December 2017 were selected as the study group and other 52 healthy pregnant women who had vaginal delivery in our hospital during the same period were selected as the control group. The delivery process of the patients with scarred uterus was observed, and the duration of labor, blood loss, hospitalization time and the incidence of postpartum infection and urinary retention were compared between the two groups, and the Apgar scores of the newborns were compared between the two groups. Results There were no significant differences in the duration of labor, blood loss and length of hospital stay between the two groups(P>0.05). The success rate of vaginal delivery was 90.38% in the study group and 100.00% in the control group(P>0.05). There were no significant differences in the 1-minute Apgar scores, postpartum infection and urinary retention rates between the two groups(P>0.05). Conclusion Scarred uterus is not the absolute indication of cesarean section. As long as the indications and contraindications of delivery are strictly controlled and the monitoring work is perfect, vaginal delivery is safe and feasible. |
| Key words: Scarred uterus Secondary pregnancy Vaginal delivery Outcome Feasibility |
