[1]杨 华,陈海凤.剖宫产术后瘢痕子宫再次妊娠阴道分娩的临床研究[J].医学信息,2021,34(24):87-89.[doi:10.3969/j.issn.1006-1959.2021.24.019]
　YANG Hua,CHEN Hai-feng.Clinical Study on Subsequent Pregnancy of Vaginal Delivery with Scar Uterus After Cesarean Section[J].Medical Information,2021,34(24):87-89.[doi:10.3969/j.issn.1006-1959.2021.24.019]
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剖宫产术后瘢痕子宫再次妊娠阴道分娩的临床研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年24期
页码:
87-89
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
Clinical Study on Subsequent Pregnancy of Vaginal Delivery with Scar Uterus After Cesarean Section
文章编号:
1006-1959（2021）24-0087-03
作者:
杨 华; 陈海凤
（江西省乐平巿妇幼保健院产科，江西 乐平 333300）
Author(s):
YANG Hua; CHEN Hai-feng
(Department of Obstetrics,Leping Maternal and Child Health Hospital,Leping 333300,Jiangxi,China)
关键词:
剖宫产术; 瘢痕子宫; 再次妊娠; 阴道分娩
Keywords:
Cesarean section; Scar uterus; Subsequent pregnancy; Vaginal delivery
分类号:
R719.8
DOI:
10.3969/j.issn.1006-1959.2021.24.019
文献标志码:
A
摘要:
目的 研究剖宫产术后瘢痕子宫再次妊娠阴道分娩的可行性。方法 选取2019年1月-2021年1月在我院分娩的52例剖宫产术后瘢痕子宫再次妊娠产妇为观察组，并选取同期在我院分娩的52例非瘢痕妊娠产妇为对照组，两组产妇均符合阴道试产指征。比较两组阴道分娩率、阴道分娩产妇产后24 h出血量、住院时间、新生儿窒息发生率、新生儿Apgar评分、产妇并发症发生情况。结果 观察组阴道分娩率低于对照组（76.92% vs 82.69%），但差异无统计学意义（P＞0.05）。两组产后24 h出血量、住院时间、新生儿窒息发生率、新生儿Apgar评分比较，差异无统计学意义（P＞0.05）。两组产后发生感染、尿潴留、宫裂出血的情况比较，差异无统计学意义（P＞0.05）。观察组阴道分娩产妇产后24 h出血量少于剖宫产产妇，住院时间短于剖宫产产妇，新生儿窒息发生率、产后并发症发生率均小于剖宫产产妇，新生儿Apgar评分高于剖宫产产妇，差异有统计学意义（P＜0.05）。结论 剖宫产术后瘢痕子宫再次妊娠阴道分娩成功率较高，可显著降低母婴并发症，减少产后出血量。对于剖宫产术后瘢痕子宫再次妊娠产妇，产前进行严格检查，严格掌控阴道试产指征，应鼓励产妇首选阴道分娩。
Abstract:
Objective To study the feasibility of subsequent pregnancy of vaginal delivery with scar uterus after cesarean section.Methods A total of 52 pregnant women with scarred uterus after cesarean section who were delivered in our hospital from January 2019 to January 2021 were selected as the observation group, and 52 pregnant women without scarred uterus who were delivered in our hospital during the same period were selected as the control group. The two groups of pregnant women met the for vaginal delivery. The vaginal delivery rate, 24 h postpartum hemorrhage, hospitalization time, incidence of neonatal asphyxia, neonatal Apgar score, and maternal complications were compared between the two groups.Results The vaginal delivery rate of the observation group was lower than that of the control group (76.92% vs 82.69%), but the difference was not statistically significant (P>0.05). There was no significant difference in 24 h postpartum hemorrhage, hospitalization time, neonatal asphyxia rate and neonatal Apgar score between the two groups (P>0.05). There was no significant difference in postpartum infection, urinary retention and uterine bleeding between the two groups (P>0.05). The amount of postpartum hemorrhage 24 h after vaginal delivery in the observation group was less than that of cesarean section, the hospitalization time was shorter than that of cesarean section, the incidence of neonatal asphyxia and the incidence of postpartum complications were lower than those of cesarean section, and the neonatal Apgar score was higher than that of cesarean section, the difference was statistically significant (P<0.05).Conclusion The success rate of vaginal delivery of scar uterus after cesarean section is high, which can significantly reduce maternal and infant complications and reduce postpartum hemorrhage. For pregnant women with scar uterus after cesarean section, strict prenatal examination and strict control of vaginal trial indications should be encouraged to choose vaginal delivery.

参考文献/References:

[1]徐云.剖宫产术后再次妊娠经阴道分娩可行性及安全性临床分析[J].中南医学科学杂志,2016,44(1):91-92.[2]柯茹,樊尚荣,夏俊霞.剖宫产后阴道分娩的安全性[J].广东医学,2016,37(3):366-368.[3]张辰晨,刘玲,夏义欣.瘢痕子宫再次妊娠阴道试产的可行性、条件及其影响因素[J].武警医学,2016,27(7):746-750.[4]王瑞云,姚纪.剖宫产术后瘢痕子宫再次妊娠分娩评估及分娩方式的选择[J].中国妇幼保健,2017,32(21):5212-5214.[5]Walker KF,Bradshaw L,Bugg GJ,et al.Causes of antepartum stillbirth in women of advanced maternal age[J].Eur J Obst Gynecol Reprod Biol,2016,9(197):86-90.[6]刘根梅.220例瘢痕子宫再次妊娠的分娩方式选择及母婴结局分析[J].现代诊断与治疗,2018,29(19):3109-3111.[7]罗漫灵,陈旭菲,于燕,等.剖宫产术后阴道分娩成功的影响因素[J].中华围产医学杂志,2016,19(2):99-103.[8]张俊,李新琳,周永玲.95例瘢痕子宫妊娠阴道分娩临床分析[J].重庆医学,2017,46(12):1693-1694.[9]牟田,王雁,刘国莉,等.剖宫产术后再次妊娠阴道分娩管理的专家共识(2016)[J].中华妇产科杂志,2016,51(8):561-564.[10]黄冬梅.剖宫产术后瘢痕子宫再次妊娠阴道试产失败的危险因素分析[J].中国妇幼保健,2018,33(15):3496-3498.[11]王安,徐优文,吴晓荣.剖宫产术后瘢痕子宫再次妊娠阴道分娩的可行性研究[J].西部医学,2017,29(5):666-669.[12]彭方亮,罗欣,漆洪波.瘢痕子宫再次妊娠并发前置胎盘197例临床分析[J].中国实用妇科与产科,2016,32(8):788-791.[13]刘晓华,续云芳.剖宫产后瘢痕子宫再次妊娠经阴道分娩的母婴结局[J].中国性科学,2017,26(10):110-112.[14]王新彦,赵娜,段一丁,等.剖宫产后瘢痕子宫再次妊娠应用高频超声对分娩方式选择的意义分析[J].中华保健医学杂志,2016,18(3):232-233.[15]郝绘丽.剖宫产后瘢痕子宫再次妊娠孕妇不同分娩模式的妊娠结局分析[J].医学理论与实践,2018,31(15):2306-2308.[16]赖冬梅.瘢痕子宫再次妊娠采取阴道分娩的成功率及安全性分析[J].四川医学,2018,39(8):921-925.[17]周秀芬,徐运川,任俊.166例瘢痕子宫再次分娩的指征和不同分娩方式的选择探讨[J].中国妇产科临床杂志,2017,18(1):67-68.[18]朱丹倩,吴正强,郑飞.不同手术方式治疗剖宫产术后子宫瘢痕妊娠对再生育的影响[J].江苏医药,2020,46(1):37-39.[19]罗娟,韩克,汤晓秋,等.不同术式治疗早孕期剖宫产术后子宫瘢痕妊娠各分型的效果分析[J].东南国防医药,2018,20(6):32-37.[20]徐志美.不同分娩方式在瘢痕子宫再次妊娠产妇中的应用效果及其对母婴结局的影响[J].临床合理用药,2018,11(11):168-169.

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更新日期/Last Update: 1900-01-01