摘要
目的探讨瘢痕子宫足月妊娠经阴道试产产程特点及临床结局。方法选取2014年1月~2017年1月我院收治瘢痕子宫足月妊娠产妇100例作为观察组,另选择我院同期手指的初次足月妊娠产妇100例为对照组,均签署知情同意书,比较两组患者的阴道分娩率、总产程、产后出血及新生儿Apgar评分。结果观察组产妇经阴道试产阴道分娩35例,阴道分娩率70.0%;对照组阴道分娩45例,阴道分娩率高达90.0%,明显高于观察组,差异具有统计学意义(P<0.05);两组总产程、分娩时出血量及新生儿Apgar评分为明显,差异无统计学意义(P>0.05)。结论瘢痕子宫足月妊娠产妇分娩前根据综合评估结果,密切监测经阴道试产安全可行性,可大幅降低重复剖宫产所带来的二次损伤。
Objective To explore the characteristics and clinical outcome of vaginal delivery of full term pregnancy with scarred uterus. Methods One hundred cases of full term pregnancy with scarred uterus in our hospital from January 2014 to January 2017 were selected as the observation group.Another 100 cases of First term pregnant women were selected as the control group.Informed consent was signed by all patients.Vaginal delivery rate,total stage of labor,postpartum hemorrhage and neonatal Apgar score were compared between the two groups. Results There were 35 cases of vaginal delivery in the observation group,and the vaginal delivery rate was 70.0%;There were 45 cases of vaginal delivery in the control group,and the vaginal delivery rate was 90.0%,which was significantly higher than the observation group,the difference was statistically significant（P 〈0.05）;There was no significant difference between the two groups in the total stage of labor,the amount of bleeding at birth and the Apgar score of neonates （P 〉0.05）. Conclusion According to the comprehensive evaluation results,it is safe and feasible to closely monitor the feasibility of transvaginal trial production,which can greatly reduce the two injuries caused by repeated cesarean section.
出处
《中国医药科学》
2017年第24期104-106,共3页
China Medicine And Pharmacy
关键词
瘢痕子宫
足月妊娠
阴道试产
产程特点
临床结局
Scar uterus
Term pregnancy
Vaginal trial production
Labor characteristics
Clinical outcome
