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由于现在剖宫产几率的不断升高,计生政策的改变,剖宫产手术之后疤痕子宫再次妊娠的出现几率也随之升高,因为疤痕子宫再次妊娠非常容易产生破裂,所以选取安全的分娩方式一直属于临床产科医护人员所关注的课题。最近几年以来,很多有关疤痕子宫足月妊娠孕妇阴道分娩的报道,显示疤痕子宫阴道分娩的安全性高,与再次接受剖宫产比较利大于弊,但是疤痕子宫再次妊娠阴道试产率比较低,孕妇接受剖宫产手术依旧属于疤痕子宫再次妊娠的首选分娩方式。本文对疤痕子宫足月妊娠孕妇阴道分娩的研究进展作一综述,为临床选取最佳的再分娩方式提供有利的依据,从而使产科服务质量获得提升。
Due to the increasing incidence of cesarean section now, changes in family planning policies, cesarean scar surgery after the chance of recurrence of uterine pregnancy also increased, because the scar of the uterus again very easy to produce rupture of pregnancy, so the choice of safe mode of delivery Has always been a subject of concern to clinical obstetricians and nurses. In recent years, many reports of vaginal delivery of pregnant women with full-term pregnancy of the scar showed high safety of vaginal delivery of the scar and compared with the benefit of receiving cesarean again. However, the test yield of vaginal pregnancy was relatively low , Pregnant women accept cesarean section surgery is still the first choice of delivery method of pregnancy again scar. This article reviews the research progress of vaginal delivery in full-term pregnant women with scar-shaped uterus, and provides a favorable basis for choosing the best mode of re-delivery clinically so that the quality of obstetric services can be improved.