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目的:探讨剖宫产术后瘢痕子宫产妇再次妊娠经阴道分娩的安全性及可行性。方法:选取178例产妇为研究对象,研究组103例为剖宫产术后瘢痕子宫再次妊娠产妇,对照组75例为自然分娩后再次妊娠产妇,两组均经采取阴道分娩方式。观察两组产妇分娩及新生儿APORG评分。结果:两组新生儿APORG评分比较无差异性;研究组产妇产程时间、产后出血、新生儿窒息、吸入性肺炎发生率明显高于对照组,阴道分娩成功率明显低于对照组(P<0.05)结论:剖宫产术后瘢痕子宫再次阴道分娩具有可行性,但安全性相对较低。
Objective: To investigate the safety and feasibility of vaginal delivery of pregnant women with cesarean scar after uterine pregnancy. Methods: A total of 178 maternal women were selected as the research object. The study group consisted of 103 pregnant women with scar pregnancy and uterus after cesarean section and 75 pregnant women with pregnancy after spontaneous delivery. Both groups were given vaginal delivery. Two groups of maternal delivery and neonatal APORG score were observed. Results: There was no difference in APORG score between the two groups. The incidence of maternal labor, postpartum hemorrhage, neonatal asphyxia and aspiration pneumonia were significantly higher in the study group than in the control group, and the success rate of vaginal delivery was significantly lower than that of the control group (P <0.05 ) Conclusion: Cesarean scar surgery after vaginal delivery of vaginal delivery is feasible, but the safety is relatively low.