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目的 :探讨瘢痕子宫妊娠阴道分娩可行性、安全性。方法:2014年1月~2015年5月,选择阴道分娩产妇80例,其中成功65例纳入A组,失败15例纳入B组,剖宫产术产妇107例纳入C组,对比相关指标。结果:B组出血估计量高于A组、C组,C组低于A组,B组、C组初次母乳时间、住院日、费用高于A组,差异具有统计学意义(P<0.05);A组不良事件发生率20.0%低于B组86.67%、C组30.84%,C组低于B组,差异具有统计学意义(P<0.05)。结论:瘢痕子宫阴道分娩是可行的,成功率可达80%左右,一旦成功,可有效缩短住院时间,有助于及早开展产褥期保健、母婴早接触,但失败也可能增加妊娠不良结局发生风险。
Objective: To investigate the feasibility and safety of vaginal delivery of scar uterine pregnancy. Methods: From January 2014 to May 2015, 80 cases of vaginal delivery were selected. 65 cases were successful in group A, 15 cases were failed in group B, and 107 cases of cesarean section were included in group C, and the related indexes were compared. Results: The estimated amount of hemorrhage in group B was higher than that in group A, while the initial breast milk time, hospitalization day and cost in group B and C were lower than those in group A (P <0.05) The incidence of adverse events in group A was lower than that in group B by 20.0%, 86.67% in group B and 30.84% in group C, but lower in group C than in group B (P <0.05). CONCLUSIONS: Vaginal delivery of uterine scar is feasible and the success rate can reach about 80%. Once successful, it can shorten the length of hospital stay, promote the early puerperium health and early mother-infant contact, but failure may also increase the risk of adverse pregnancy outcomes .