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目的探讨分析不同分娩方式对瘢痕子宫再次妊娠孕妇妊娠结局的影响。方法 2012年2月—2015年4月于洛阳市妇女儿童医疗保健中心分娩的孕产妇127例,均为剖宫产后瘢痕子宫。根据分娩方式不同将其分为对照组(n=67)与研究组(n=60),其中对照组孕产妇再次采取剖宫产方式分娩,而研究组孕产妇采取经阴道自然分娩。比较2组孕产妇产后出血以及产褥感染发生情况,并对2组新生儿分娩相关并发症进行分析。结果研究组孕产妇发生产后出血2例,发生产褥感染2例,总体发生率为6.7%(4/60);而对照组孕产妇发生产后出血8例,发生产褥感染5例,总体发生率为19.4%(13/67)。经比较,研究组孕产妇并发症发生率显著低于对照组(P<0.05)。2组新生儿窒息、感染以及颅内出血等并发症发生率无显著差异(P>0.05)。结论采取经阴道自然分娩方式可减少瘢痕子宫再次妊娠孕妇分娩并发症的发生率,改善分娩结局。
Objective To investigate the effect of different modes of delivery on pregnancy outcomes of pregnant women with scarred uterus again. Methods From February 2012 to April 2015, 127 pregnant women were delivered at Luoyang Women’s and Children’s Medical Center, all of which were cesarean scar. According to different modes of delivery, they were divided into control group (n = 67) and study group (n = 60). The pregnant women in the control group were delivered by cesarean section again and the study group were given vaginal natural delivery. The incidence of postpartum hemorrhage and puerperal infection in two groups were compared, and the complications related to childbirth in the two groups were analyzed. Results In the research group, there were 2 cases of postpartum hemorrhage in pregnant women and 2 cases of puerperal infection, the overall incidence was 6.7% (4/60). In the control group, 8 cases of postpartum hemorrhage occurred in pregnant women and 5 cases of puerperal infection occurred. The rate was 19.4% (13/67). By comparison, the incidence of maternal complications in the study group was significantly lower than that in the control group (P <0.05). There was no significant difference in complications of neonatal asphyxia, infection and intracranial hemorrhage (P> 0.05). Conclusion The natural transvaginal delivery mode can reduce the incidence of complications of pregnancy in pregnant women with uterine scar pregnancy and improve the outcome of delivery.