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目的对瘢痕子宫孕产妇进行再次剖宫产手术的并发症发生情况进行分析,以期最大限度降低瘢痕子宫导致的高剖宫产率。方法选择2014年1月～2015年12月我院收治的的瘢痕子宫再次妊娠分娩患者310例进行研究,将瘢痕子宫再次剖宫产患者162例作为观察组,初次剖宫产患者402例作为对照组,并分析两组并发症情况。结果观察组盆腹腔粘连、胎盘植入、子宫破裂、前置胎盘、新生儿窒息、产后出血、子宫切除等发生率均高于对照组,差异有统计学意义(P<0.05)。结论伴有瘢痕子宫的产妇行再次妊娠分娩时,其临床并发症的发生率显著提高,不可避免的增加了妊娠危险性,为了更大程度的保障母婴安全健康,产妇在进行首次分娩时要降低以社会因素为手术指征的剖宫产,初次生产时倡导并协助产妇进行自然分娩,提高瘢痕子宫患者阴道自然分娩的机会,进而降低瘢痕子宫再次剖宫产,促进母婴健康。
Objective To analyze the occurrence of complications of cesarean section in scar maternal uterus with the purpose of minimizing the high rate of cesarean section caused by scarring uterus. Methods From January 2014 to December 2015, 310 cases of scar pregnancy and childbirth were treated in our hospital. 162 cases of scarring uterine cesarean section as observation group and 402 cases of initial cesarean section as control group Group, and analyze the two groups of complications. Results The incidence of abdominal adhesions, placenta accreta, uterine rupture, placenta previa, neonatal asphyxia, postpartum hemorrhage and hysterectomy in observation group were significantly higher than those in control group (P <0.05). Conclusion Maternal women with scar uterine pregnancy have a significantly higher incidence of clinical complications after pregnancy and delivery, which inevitably increases the risk of pregnancy. In order to ensure the safety and health of mothers and their babies to a greater extent, Reduce the social factors for surgical indications of cesarean section, advocate and assist mothers in the initial production of natural childbirth, improve the natural vaginal delivery of scar uterine patients the opportunity to further reduce the scar uterine cesarean section and promote maternal and child health.