瘢痕子宫足月妊娠孕妇经阴道分娩可行性探讨

发布时间：2018-03-28 16:16

本文选题：瘢痕子宫　切入点：剖宫产后阴道分娩　出处：《山东医药》2015年10期

【摘要】：目的探讨瘢痕子宫足月妊娠孕妇经阴道分娩的可行性。方法选择于我院行经阴道分娩的瘢痕子宫孕妇43例(瘢痕组)、非瘢痕子宫孕妇50例(非瘢痕组)。瘢痕组在严格掌握经阴道试产指征的基础上行阴道试产,非瘢痕组行常规经阴道分娩。比较两组宫颈球囊率、阴道助产率、产后子宫下段积血发生率、新生儿Apgar评分7分发生率、平均产程、产时出血量、产后24 h出血量、新生儿体质量、平均住院时间。结果瘢痕组试产成功40例,试产成功率为93.02%;分娩过程中未发现子宫破裂。瘢痕组产后子宫下段积血发生率高于非瘢痕组(P0.05)。两组其他观察指标比较均无统计学差异。结论在严格掌握经阴道分娩指征、严密产程监护、做好并发症防治准备的基础上,瘢痕子宫孕妇经阴道分娩是可行的。
[Abstract]:Objective to explore the feasibility of vaginal delivery of pregnant women with full term cicatricial uterus. Methods 43 cases of pregnant women with scar uterus (scar group) and 50 cases without scar uterus (non-scar group) were selected in our hospital. On the basis of strictly mastering the indications of vaginal trial delivery, The rate of cervical balloon, the rate of vaginal delivery, the incidence of hemorrhage in the lower part of the uterus after delivery, the incidence of Apgar score of newborn, the average delivery process, the amount of bleeding during delivery, and the amount of bleeding at 24 hours postpartum were compared between the two groups. Results 40 cases of cicatricial scar group were successfully delivered. The success rate of trial labor was 93.02. No uterine rupture was found during delivery. The incidence of hemorrhage in the lower segment of the uterus in the scar group was higher than that in the non-scar group (P 0.05). There was no significant difference in other observation indexes between the two groups. Conclusion there is no statistical difference between the two groups in the indication of transvaginal delivery. On the basis of strict monitoring of labor process and preparation for prevention and treatment of complications, it is feasible for pregnant women with scar uterus to deliver through vagina.
【作者单位】：岳阳市妇幼保健院;
【分类号】：R714.3

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