瘢痕子宫再次妊娠阴道分娩25例临床分析

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目的探讨瘢痕子宫再次妊娠阴道分娩的可行性及安全性。方法 25例瘢痕子宫再次妊娠经阴道分娩的孕妇作为观察组,同期入院的30例非瘢痕子宫经阴道分娩的孕妇作为对照组,所有孕妇均为自然临产,比较两组产程时间、产时出血量、新生儿Apgar评分、新生儿体重、会阴侧切率、住院时间。结果两组孕妇产程时间、产时出血量、新生儿Apgar评分及出院时间相似,差异无统计学意义(P>0.05);观察组的新生儿体重低于对照组,会阴侧切率高于对照组,差异有统计学意义(P<0.05)。结论在严密监护,具备随时抢救、手术的条件下,符合阴道试产条件的瘢痕子宫孕妇可行阴道分娩。 Objective To investigate the feasibility and safety of vaginal delivery of scar pregnancy again. Methods Twenty-five pregnant women with scar uterine re-pregnancy vaginal delivery were selected as the observation group and 30 pregnant women with non-scarring uterus vaginal delivery during the same period as control group. All pregnant women were born spontaneously. The duration of labor, , Neonatal Apgar score, newborn weight, episiotomy rate, hospital stay. Results The duration of labor, the amount of bleeding during labor, Apgar score and discharge time of neonates were similar between the two groups (P> 0.05). The neonatal weight of the observation group was lower than that of the control group and the episiotomy rate of the episiotomy was higher than that of the control group , The difference was statistically significant (P <0.05). Conclusion In close monitoring, with the rescue at any time, under the conditions of surgery, in line with vaginal trial production of scarring uterus feasible vaginal delivery.
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