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目的:探讨疤痕子宫再次妊娠分娩方式选择及安全性。方法:回顾性分析我院产科病房2014年6月~2015年5月期间收治的168例疤痕子宫再次妊娠产妇的临床病例资料,同时与同时期内初次妊娠产妇选取阴道分娩和剖宫产分娩结局进行比较。结果:168例孕产妇阴道试产72例,其中阴道试产成功45例(62.5%),疤痕子宫阴道试产组孕产妇产时出血、产程时长及新生儿Apgar评分与初产妇组阴道试产产妇之间比较差异无统计学意义(P>0.05);123例疤痕子宫再次妊娠产妇行剖宫产手术时其手术时间、住院时间及产后出血显著高于初产妇剖宫产手术(P<0.05)。结论:剖宫产再次妊娠孕产妇阴道试产成功率较高,产科医生根据产妇具体情况分析有无阴道试产条件,同时鼓励孕产妇积极进行阴道试产,以便提高其分娩质量。
Objective: To investigate the choice of the mode of delivery and safety of second pregnancy after scar pregnancy. Methods: A retrospective analysis of our hospital obstetric ward June 2014 ~ May 2015 period of 168 cases of uterine scar re-pregnancy clinical data of pregnant women, while with the same period the first pregnancy maternal vaginal delivery and cesarean delivery outcomes Compare. Results: Seventy-eight cases of vaginal trial were performed in 168 pregnant women, including 45 cases (62.5%) of successful vaginal trial, maternal bleeding during labor, length of labor and neonatal Apgar score in vaginal trial There was no significant difference between the pregnant women and the pregnant women (P> 0.05). The time of operation, hospital stay and postpartum hemorrhage in cesarean section in 123 cases of scar pregnancy were significantly higher than those of primipara (P < 0.05). Conclusions: The success rate of vaginal trial of pregnant women after cesarean section is higher again. The obstetrician analyzes vaginal trial production conditions according to the specific conditions of the pregnant women, and encourages pregnant women to actively carry out vaginal trial production in order to improve their delivery quality.