疤痕子宫再次妊娠分娩方式的危险因素分析

发布时间：2018-01-14 06:28

本文关键词：疤痕子宫再次妊娠分娩方式的危险因素分析　出处：《中国临床药理学杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的观察瘢痕子宫再次妊娠分娩方式的相关影响因素。方法 120例有剖宫产史的瘢痕子宫孕妇的相关临床资料,鼓励患者进行自然阴道分娩,孕妇规律宫缩开始16 h宫口尚未开全则进行剖宫产。记录所有孕妇的年龄、体重指数、孕周、剖宫产次数、上次剖宫产距本次引产间隔时间、子宫瘢痕厚度、胎位、有无子宫破裂、产后出血量、宫腔残留率及子宫切除术等情况。结果 120例产妇中,96例孕妇最终成功阴道分娩,分娩率为80.00%,另24例中途转为剖宫产,占20.00%。对影响孕妇阴道分娩的相关因素进行多因素非条件Logistic回归分析结果显示:影响成功阴道试产的主要危险因素包括孕妇体重指数和上次剖宫产距离时间。阴道分娩及剖宫产的孕妇的产后出血量分别为(394.39±64.11),(432.66±59.12)mL;产后住院时间分别为(5.69±4.29),(4.94±2.31)d,产后产褥病患病率分别为1.04%、12.50%,差异均有统计学意义(均P0.05)。结论瘢痕子宫孕妇用经阴道分娩也是一种较为安全方式,对于体重指数30 kg·m~(-2)、距离上次剖宫产时间小于2年的瘢痕子宫孕妇谨慎选择经阴道分娩。
[Abstract]:Objective to investigate the related factors of pregnancy delivery scar uterus. Methods 120 cases had the history of cesarean section maternal uterine scar related clinical data, the patients were encouraged to spontaneous vaginal delivery, pregnant women began regular uterine contraction 16 h palace mouth open all is not for cesarean section. There are records of maternal age, body mass index. Gestational age, the number of cesarean section, the last cesarean section from the induction time interval, uterine scar thickness, fetal position, there is no uterine rupture, postpartum hemorrhage, the rate of Intrauterine Residue and hysterectomy cases. Results: 120 cases of pregnant women, 96 pregnant women were ultimately successful vaginal delivery, the delivery rate was 80%. The other 24 were changed to cesarean section, accounting for 20.00%. related factors on pregnant women with vaginal delivery of multiple factor non conditional Logistic regression analysis showed that the main factors affecting the success of vaginal delivery including maternal body mass index and the last time From the time of cesarean section. The vaginal delivery and cesarean section in pregnant women with postpartum hemorrhage were (394.39 + 64.11), (432.66 + 59.12) mL; postpartum hospitalization time was (5.69 + 4.29), (4.94 + 2.31) d, puerperal disease prevalence rates were 1.04%, 12.50%, the difference was there was statistical significance (P0.05). Conclusion uterine scar pregnant women with vaginal delivery is a safe way for a BMI of 30 kg - m~ (-2), from the last cesarean uterine scar pregnant time is less than 2 years of careful selection of vaginal delivery.

【作者单位】：上海市浦东新区周浦医院妇产科;
【基金】：上海市浦东新区面上基金资助项目(PW2014 A-49) 上海市浦东新区重点学科基金资助项目(PWZX2014-18)
【分类号】：R714
【正文快照】： (上海市浦东新区周浦医院妇产科,上海200000)WU Su-qin,WANG Ying,SHU Zhi-ming,JIANG Ling-li,LIU Zhou(Department of Obstetrics and Gynecolo-gy,Shanghai Pudong New DistrictZhoupu Hospital,Shanghai 200000,China)剖宫产是处理难产及高危妊娠的医学手段,合理进行剖宫

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