【摘要】 目的:探讨瘢痕子宫再次妊娠合理选择分娩方式,提倡阴道分娩,降低剖宫产率.方法:选择内蒙古民族大学附属医院自2008-02~2011-02 80例瘢痕子宫再次妊娠的孕妇临床资料进行回顾性分析.结果:80例瘢痕子宫妊娠分娩中,阴道试产组33例,试产成功23例,成功率69.70%,试产失败改行剖宫产组10例,失败率30.30%.新生儿Apgar评分两组无明显差异,产后出血量剖宫产组高于阴道分娩组.结论:瘢痕子宫并不是剖宫产手术的绝对指征,对于符合阴道试产条件的产妇,在严密监护下,阴道试产是安全可行的.更多还原

【Abstract】 Objective: To explore the reasonable selection of delivery mode in re-pregnant women with scarred uterus,to advocate vaginal delivery and to reduce the rate of cesarean section.Methods: The clinical data of 80 cases re-pregnant women with scarred uterus who hospitalized in our hospital from February 2008 to February 2011 were retrospectively analyzed.Results: The vaginal delivery group(33 cases) tried vaginal delivery and 23 cases succeeded,the successful rate was 69.70%;10 cases failed and underwent cesarean section,the failure rate was 30.30%.The neonatal Apgar score of two groups had no significant difference,the amount of postpartum hemorrhage in cesarean section group was more than that of vaginal delivery group.Conclusion: Scarred uterus is not an absolute indication for cesarean operation,under close monitoring,trial vaginal delivery is feasible.更多还原