166例瘢痕子宫再次分娩的指证和不同分娩方式的选择探讨

发布时间：2018-03-06 20:12

本文选题：瘢痕子宫　切入点：剖宫产　出处：《中国妇产科临床杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的分析瘢痕子宫产妇再次分娩的指证以及选择不同分娩方式的优势。方法选取2013年1月至2016年6月于安徽省六安市人民医院分娩的瘢痕子宫产妇共计166例,详细记录其分娩方式以及产后24 h的出血情况、发热情况、是否存在产褥病例。记录新生儿出生健康情况指标、是否有新生儿窒息,统计不同分娩方式产妇住院总需时间以及医疗相关费用。回顾性分析并比较不同分娩方式上述结果差异,总结不同分娩方式的选择优势。结果阴道试分娩产妇共计90例,阴道试产成功率75.56%;剖宫产孕妇共计76(45.78%)例。瘢痕子宫产妇行剖宫产与阴道分娩相比,其24 h出血量以及产后发热情况明显增多(P㩳0.05),新生儿窒息比例明显增多(P㩳0.05)。行剖宫产孕妇其住院总需时间以及花费均明显高于阴道分娩产妇(P㩳0.05)。其余指标均未见明显差异(P㧐0.05)。结论相对剖宫产的分娩方式,阴道分娩对于再次分娩瘢痕子宫产妇及新生儿的不良影响较小,具有明显选择优势,临床应首先选择阴道分娩。
[Abstract]:Objective to analyze the indication of redelivery and the advantages of different delivery methods. Methods from January 2013 to June 2016, a total of 166 cicatricial women who were delivered in the people's Hospital of Lu'an City, Anhui Province, were selected. Record in detail the way of delivery, the bleeding of 24 hours postpartum, fever, whether there are puerperal cases, record the health of the newborn, whether there is asphyxia of the newborn, The total hospitalization time and medical related expenses of women with different delivery modes were analyzed and compared retrospectively, and the selection advantages of different delivery modes were summarized. Results there were 90 cases of vaginal trial delivery. The success rate of vaginal trial delivery was 75.56; the total number of pregnant women by cesarean section was 7655.78). Compared with vaginal delivery, the amount of 24 h bleeding and postpartum fever increased significantly in the cesarean section of cicatricial uterus. The proportion of asphyxia neonatorum significantly increased P0. 05? The total hospitalization time and cost of cesarean section for pregnant women were significantly higher than that for vaginal delivery. There was no significant difference in other indexes (P > 0.05). Conclusion compared with the mode of cesarean section, vaginal delivery has little adverse effect on the second delivery of scar uterus and newborn, and has obvious choice advantage, so vaginal delivery should be selected first in clinic.
【作者单位】：安徽省六安市人民医院妇产科;

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