不同分娩方式对瘢痕子宫再次妊娠产妇及新生儿影响的Meta分析

发布时间：2018-03-12 13:28

本文选题：分娩方式　切入点：终止妊娠　出处：《现代预防医学》2017年06期 　论文类型：期刊论文

【摘要】：目的系统评价不同分娩方式对瘢痕子宫再次足月妊娠产妇及新生儿的影响。方法利用计算机在相关期刊论文、维普期刊网、万方知识平台、中国生物医学、Pub Med、Cochrane Library、Medline、Embase、Science Direct中进行检索,收集从建库至2016年8月底发表的关于瘢痕子宫再次妊娠分娩方式的文献,采用Rev Man5.3软件进行Meta分析,由异质性检验选择固定效应模型或随机效应模型。结果初检出1104篇文献,经筛选最后共纳入文献33篇,累计研究对象7 027例。Meta分析显示,在瘢痕子宫再次足月妊娠时2种终止妊娠方式比较后阴道顺产在新生儿窒息发生率、新生儿出生体重、产妇产时出血量、产褥病例、总住院天数方面较剖宫产效果好,差异有统计学意义。结论阴道顺产较剖宫产对瘢痕子宫再次妊娠产妇及新生儿影响较小,但阴道顺产不可避免的发生子宫破裂等情况,不能以此作为阴道顺产的首选依据,要符合阴道试产的适应症。
[Abstract]:Objective to systematically evaluate the effects of different delivery modes on the pregnant women and newborns with second term cicatricial uterus. Methods computer was used in the full text database of Chinese Journal, WIP Journals Network and Wanfang knowledge platform. The Chinese biomedicine Pub Medi Cochrane Library Medline Direct was searched to collect the literature published from the establishment of the library to the end of August 2016 on the mode of second pregnancy and delivery of scar uterus. Rev Man5.3 software was used to carry out the Meta analysis. According to heterogeneity test, fixed effect model or random effect model were selected. Results 1104 articles were first detected and 33 articles were included. The rate of neonatal asphyxia, birth weight, blood loss during delivery, puerperal cases, total hospital stay were better than those of cesarean section. Conclusion the vaginal delivery has less influence on the second trimester of the cicatricial uterus and the newborn, but it can't be used as the first choice for the vaginal abortion. Should accord with the indication of vaginal trial labor.
【作者单位】：延边大学护理学院;延边大学附属医院护理部;延边大学附属医院重症医学科;
【分类号】：R714

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