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目的探讨瘢痕妊娠产妇经阴道分娩的临床效果。方法选取盐城市盐都区中西医结合医院2014年1月—2016年10月收治的瘢痕妊娠产妇66例作为观察组,另选取同期正常妊娠产妇66例作为对照组,均经阴道分娩。比较两组产妇分娩成功率、术中出血量、产程、住院时间及新生儿窒息率、新生儿Apgar评分,观察产妇产后并发症情况。结果两组产妇分娩成功率、术中出血量、产程、住院时间、新生儿窒息率及Apgar评分、并发症发生率比较,差异无统计学意义(P>0.05)。结论在严格掌握适应证、严密监护产程的前提下,瘢痕妊娠产妇经阴道分娩安全可行。
Objective To investigate the clinical effect of vaginal delivery during scar pregnancy. Methods 66 cases of scar pregnancy were selected from January 2014 to October 2016 in Yandu District Hospital of Yancheng, Yancheng District. Another 66 cases of normal pregnant women were selected as the control group and delivered vaginally. The success rate of maternal delivery, intraoperative blood loss, labor, length of hospital stay and neonatal asphyxia, neonatal Apgar score were compared between the two groups to observe the postpartum complications. Results The success rate of maternal delivery, blood loss, labor, hospital stay, neonatal asphyxia and apgar score, complication rates were not significantly different between the two groups (P> 0.05). Conclusion Under the strict control of indications and close monitoring of labor process, vaginal delivery of scar pregnancy is safe and feasible.