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目的探讨全程管理对瘢痕子宫孕妇分娩结局的影响,以期提高阴道分娩率。方法将孕早期瘢痕子宫孕妇350例随机分为观察组200例和对照组150例,对照组接受常规门诊孕检、住院分娩;观察组接受瘢痕管理小组全程管理。比较2组分娩情况。结果观察组满足试产条件、试产及阴道分娩的比例均明显高于对照组,产钳使用率低于对照组,产后大出血、新生儿窒息的发生率均明显低于对照组,差异均有统计学意义(P<0.05或P<0.01)。2组均无子宫破裂。结论对瘢痕子宫孕妇实施孕期、产时全程管理,可显著提高瘢痕子宫孕妇阴道试产率,改善分娩结局。
Objective To explore the impact of full management on the delivery outcome of pregnant women with scarring uterus, in order to improve vaginal delivery rate. Methods 350 early pregnant women with uterine scar were randomly divided into observation group (n = 200) and control group (n = 150). The control group received routine outpatient pregnancy test and hospital delivery. The observation group received full management of scar management group. Compare the 2 groups of childbirth situation. Results The observation group to meet the trial production conditions, trial production and vaginal delivery were significantly higher than the control group, the use of forceps lower than the control group, postpartum hemorrhage, the incidence of neonatal asphyxia were significantly lower than the control group, the differences were statistically Significance (P <0.05 or P <0.01). No uterine rupture in 2 groups. Conclusion Pregnancy in uterus during pregnancy and during delivery can improve vaginal delivery rate and improve delivery outcomes.