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目的:对疤痕子宫再次妊娠的分娩方式进行探讨与研究。方法:抽取我院于2012年1月到2013年1月诊治的疤痕子宫再次妊娠分娩产妇160例,对产妇的临床资料进行回顾性分析。结果:选择行阴道试产分娩的有60例产妇,53例分娩成功,成功率为88.33%,子宫没有出现破裂,产时出血量和产程时间平均为(292.1±37.3)ml和(10.98±2.78)h;随机抽取60例同期自然分娩的产妇作为对照组,其产时出血量为(301.4±32.3)ml,产程时间为(10.65±2.32)h,两组差异不显著不具有统计学意义(P>0.05);另100例产妇行择期剖宫产,占总产妇数的62.5%。结论:要对剖宫产手术指征进行严格把握,如果产妇有剖宫产指征则要行剖宫产,如果产妇无剖宫产手术指征,可以让其进行试产,以使剖宫产率降到最低。
Objective: To investigate the ways of delivery of scar pregnancy again. Methods: One hundred and sixty cases of maternal pregnancy after childbirth in our hospital were collected from January 2012 to January 2013 in our hospital. The clinical data of the women were retrospectively analyzed. RESULTS: Sixty women were selected for vaginal trial delivery. Fifty - three women delivered successfully, with a success rate of 88.33%. There was no rupture of the uterus. The average amount of bleeding during labor and labor was (292.1 ± 37.3) ml and (10.98 ± 2.78 ) h; randomly selected 60 cases of spontaneous labor during the same period as the control group, the time of delivery was (301.4 ± 32.3) ml, the duration of labor was (10.65 ± 2.32) h, no significant difference between the two groups was not statistically significant P> 0.05). Another 100 maternal elective cesarean section, accounting for 62.5% of the total number of mothers. Conclusion: Cesarean surgical indications to be strictly controlled, if the maternal cesarean indications will be cesarean section, if the maternal without cesarean section indications, you can let it for trial production, so that the cesarean section Yield to a minimum.