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目的探讨瘢痕子宫再妊娠分娩方式的选择。方法回顾分析120例孕妇的临床资料。结果阴道试产98例,阴道分娩72例,产后出血量110～550ml,新生儿体重2.6～3.7kg,轻度窒息3例,其余均正常;试产过程中改行剖宫产26例,其中胎儿宫内窘迫10例,相对头盆不称7例,拒绝继续试产者8例,先兆子宫破裂1例;行再次剖宫产48例,产后出血量180～750ml,术中1例瘢痕不完全破裂,新生儿体重2.6～4.7kg,轻度窒息5例,其余均正常。结论对瘢痕子宫再次妊娠分娩方式的选择应综合考虑,对符合阴道试产条件的孕妇,提供阴道试产机会,降低剖宫产率。
Objective To explore the choice of delivery method for uterine scar pregnancy. Methods The clinical data of 120 pregnant women were retrospectively analyzed. Results 98 cases of vaginal trial, 72 cases of vaginal delivery, postpartum hemorrhage 110 ~ 550ml, neonatal weight 2.6 ~ 3.7kg, mild asphyxia in 3 cases, the rest were normal; trial cesarean section in the process of rerouting 26 cases, of which fetus 10 cases of intrauterine distress, the relative head basin is not known in 7 cases, refused to continue the trial of 8 cases, 1 case of threatened uterine rupture; line cesarean section again in 48 cases, postpartum hemorrhage 180 ~ 750ml, intraoperative 1 case of incomplete scar Ruptured, newborn weight 2.6 ~ 4.7kg, mild asphyxia in 5 cases, the rest were normal. Conclusion The choice of pregnancy mode of uterine scar pregnancy should be considered synthetically. For pregnant women who meet the conditions of vaginal trial production, vaginal trial production opportunities and reduce the rate of cesarean section.