瘢痕子宫再次妊娠分娩方式的选择
王霞
【期刊名称】《中国实用医刊》 【年(卷),期】2013(040)015
【摘要】目的 分析剖宫产瘢痕子宫再次妊娠不同分娩方式对孕产妇及新生儿的影响,总结出更合理的分娩方式,有效降低再次剖宫产率.方法 对631例剖宫产后再次妊娠孕妇选择不同分娩方式在产后出血、子宫破裂、产褥感染、新生儿窒息等方面进行分析对比,进而探讨不同分娩方式对孕产妇及新生儿的影响.结果 631例孕妇中,阴道分娩者发生产后出血、产褥感染的几率低于再次剖宫产者,子宫破裂、新生儿窒息发生率两者比较差异无统计学意义.结论 瘢痕子宫再次妊娠孕妇如具备经阴道分娩条件,且无新的剖宫产指征,均可给予阴道试产,由此减少再次剖宫产术中术后并发症的发生,并降低逐年上升的剖宫产率.%Objective To evaluate the effect of different delivery mode on pregnant women and neonates and sum up the more reasonable childbirth way of the uterine scar pregnancy again,in order to effectively reduce the rate of caesarean.Methods rupture,puerperium
The
postpartum
haemorrhage,uterine
during
different
infection,neonatal asphyxia
deliveries of 631 cases of re-pregnancy women after cesarean section were compared,and then the effect of different mode of delivery on maternal and newborn was discussed.Results Six hundred and thirty-one cases of pregnant women,vaginal deliveries occurred postpartum haemorrhage,puerperal infection was lower than the rates of caesarean