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目的探讨瘢痕子宫再次妊娠分娩方式的选择及效果。方法对172例剖宫产再次妊娠的产妇进行统计分析分娩方式的选择及对产妇、新生儿的影响。结果瘢痕子宫再次妊娠剖宫产率(70.93%);在产褥感染、产后出血量、住院天数、住院费用等方面再次剖宫产比阴道分娩均有明显升高,两种分娩方式比较差异具有统计学意义(P<0.05)。发生新生儿窒息几率在两种分娩方式比较差异无统计学意义(P>0.05)。结论瘢痕子宫再次妊娠,如不存在绝对剖宫产指征的情况下尽可能先行阴道试产,以降低剖宫产手术相关并发症的发生,临床观察证明阴道助产为一种安全、有效、经济的分娩方式。
Objective To investigate the choice and effect of pregnancy mode of delivery after scar pregnancy. Methods A total of 172 pregnant women with cesarean section who were re-pregnant were statistically analyzed for the choice of mode of delivery and the effects on mothers and newborns. Results The rate of cesarean section after pregnancy was 70.93% in cicatricial uterus. Cesarean delivery was significantly higher than vaginal delivery in the areas of puerperal infection, postpartum hemorrhage, hospitalization days, hospitalization expenses, etc. The differences in the two modes of delivery were Statistical significance (P <0.05). The incidence of neonatal asphyxia in the two modes of delivery was no significant difference (P> 0.05). Conclusions The uterus scar pregnancy again, if there is no indication of absolute cesarean section vaginal trial production as much as possible to reduce the incidence of cesarean section related complications, clinical observation proved that vaginal delivery is a safe, effective, Economic mode of delivery.