60例瘢痕子宫产妇经阴试产临床观察

发布时间：2018-04-20 04:26

本文选题：瘢痕子宫 + 分娩　；参考：《山东医药》2015年31期

【摘要】：目的观察瘢痕子宫产妇经阴试产的可行性。方法 60例瘢痕子宫产妇,在严格掌握经阴试产指征的基础上行阴道试产,观察经阴试产成功率、平均产程、放置宫颈球囊、阴道助产、产时出血量、产后24 h出血量、产后子宫下段积血、新生儿Apgar评分、新生儿体质量情况。结果 60例瘢痕子宫产妇经阴试产成功55例(91.67%),5例改为剖宫产手术,均未出现子宫破裂。放置宫颈球囊5例,阴道助产15例,产程(6.54±0.62)h,产时出血量(219.55±36.67)m L,产后子宫下段积血16例,产后24 h出血量(423.54±46.77)m L,新生儿Apgar评分7分3例,新生儿体质量(3 067.76±38.86)g。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,瘢痕子宫产妇经阴试产是可行的。
[Abstract]:Objective to observe the feasibility of transvaginal trial delivery of cicatricial uterus puerpera. Methods 60 cases of cicatricial uterus puerpera were performed vaginal trial delivery on the basis of strictly grasping the indications of transvaginal trial delivery. The success rate, average delivery process, cervical balloon placement, vaginal delivery, blood loss during delivery and 24 h postpartum bleeding were observed. Postpartum uterine hemorrhage, neonatal Apgar score, neonatal body mass. Results 55 cases of cicatricial uterus were successfully delivered through negative trial delivery in 55 cases. 5 cases were converted to cesarean section without uterine rupture. There were 5 cases of cervical balloon placement, 15 cases of vaginal delivery, 6.54 卤0.62h of labor, 219.55 卤36.67 mL of postpartum hemorrhage, 16 cases of postpartum uterine hemorrhage, 423.54 卤46.77 mL of postpartum hemorrhage, 3 cases of Apgar score of 3 cases, and 3 067.76 卤38.86 g of neonatal body weight. Conclusion on the basis of strictly mastering the indications of vaginal delivery, strict monitoring of labor process and preparation for the prevention and treatment of complications, it is feasible for women with cicatricial uterus to undergo vaginal trial delivery.
【作者单位】：济南市妇幼保健院;
【分类号】：R714.4

【参考文献】