瘢痕子宫再妊娠分娩方式选择的临床探析

发布时间：2018-06-09 20:05

本文选题：瘢痕子宫 + 再妊娠　；参考：《中外医疗》2016年31期

【摘要】：目的对瘢痕子宫再妊娠产妇的临床分娩方式选择进行探析。方法方便选取该院自2012年5月—2016年5月期间所收治的76例瘢痕子宫再妊娠产妇,回顾性分析产妇再妊娠分娩方式的选择以及对新生儿的影响。结果 76例产妇中,选择阴道试产的产妇例数为50例,阴道试产率为65.7%,阴道试产成功例数为40例,成功率为80%;产前选择剖宫产的产妇例数为26例,实际采用剖宫产的产妇例数为36例。阴道试产组的产时出血量、产程时间、感染情况上均显著性低于剖宫产组,差异有统计学意义(P0.05);将阴道试产组的新生儿Apgar评分与剖宫产组对比,差异无统计学意义(P0.05)。结论瘢痕子宫再妊娠产妇在进行临床分娩方式选择需要进行综合考虑,需要根据产妇的实际临床情况,制定出科学合理的分娩方案,确保产妇使用最佳方案进行分娩。
[Abstract]:Objective to explore the choice of delivery mode in women with scarred uterine re-pregnancy. Methods 76 pregnant women with scarred uterus from May 2012 to May 2016 were selected and analyzed retrospectively. Results of 76 cases, 50 cases were selected for vaginal trial delivery, 65.7% for vaginal trial delivery, 40 cases for successful vaginal delivery, and 26 cases for prenatal selection of cesarean section. The actual number of cases of cesarean section was 36 cases. The volume of blood loss, duration of labor and infection in the vaginal trial delivery group were significantly lower than those in the cesarean section group, the difference was statistically significant (P 0.05), and there was no significant difference between the Apgar score of the vaginal trial delivery group and the cesarean section group. Conclusion the choice of clinical delivery mode for the pregnant women with scar uterus re pregnancy needs to be considered synthetically. According to the actual clinical situation of the parturient, a scientific and reasonable delivery plan should be worked out to ensure that the best plan is used to deliver the parturient.
【作者单位】：吉林省通化市第二人民医院妇产科;
【分类号】：R714.4

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