【摘要】 目的探讨瘢痕子宫再次妊娠分娩方式的选择及其对新生儿的影响。方法选择我院收治的瘢痕子宫妊娠分娩孕妇200例和非瘢痕子宫孕妇400例,根据瘢痕子宫产妇相关情况实施阴道分娩或剖宫产,比较再次剖宫产与首次剖宫产的手术情况以及阴道分娩与非瘢痕子宫阴道分娩情况。结果瘢痕子宫再次剖宫产时出血量、手术时间、切口非甲级愈合、住院时间分别与对照组相比,差异有统计学意义(P<0.05)。而瘢痕子宫再次妊娠分娩行阴道试产的结果与非瘢痕子宫阴道分娩相似(P>0.05)。结论根据瘢痕子宫产妇相关情况选择合适分娩方式,可阴道试产的要实施阴道试产,但要严密观察病情。更多还原

【Abstract】 Objective To study childbirth delivery mode selection of subsequent pregnancy with scarred uterus and its effect on neonates.Methods 200 cases scarred uterus subsequent pregnancy women and 400 unscarred uterus pregnancy women were collected from August 2008 to August 2011 in our hospital.Delivery modes(vaginal delivery or cesarean section) were selected according the condition of scarred uterus pregnant women.The operation status of subsequent cesarean section and first time cesarean section were compared;vaginal delivery status of scarred uterus and unscarred uterus were compared.Results The differences in intrapartum hemorrhage,operation time,incision of non-grade A healilng and length of hospital stay of repeaetd cesarean section of scarred uterus had statistical significance(P<0.05)compared with control group.Vaginal delivery results of the two groups were similar,without statistical significance(P>0.05).Conclusion Delivery modes should be selected according to the condition of scarred uterus pregnant women,vaginal delivery should be tried if possible,under close observation.更多还原