论文部分内容阅读
目的:探讨剖宫产术后再次妊娠妇女子宫瘢痕状态及分娩方式的选择。方法:对160例剖宫产术后再次妊娠妇女的子宫瘢痕状态进行B超检测分级,评价子宫瘢痕修复情况、手术指征及妊娠并发症,选择安全分娩方式。结果:本组160例产妇中Ⅰ级瘢痕子宫78例,经阴道自然分娩66例、再次剖宫产12例;Ⅱ级瘢痕子宫47例,经阴道自然分娩或助产分娩25例、再次剖宫产22例;Ⅲ级瘢痕子宫35例,适时行计划剖宫产术。结论:初次剖宫产史不是再次剖宫产的绝对指征,根据产妇具体情况行阴道分娩是安全可行的。
Objective: To explore the choice of the status of uterine scar and the mode of delivery in pregnant women after cesarean section. Methods: 160 cases of cesarean section after pregnancy women uterine scar status by B-ultrasound detection, evaluation of uterine scar repair, surgical indications and complications of pregnancy, choose safe delivery mode. Results: The group of 160 maternal Ⅰ grade scar uterus 78 cases, 66 cases of vaginal natural delivery, cesarean section again in 12 cases; Ⅱ level 47 cases of uterine scar, vaginal natural delivery or midwifery delivery in 25 cases, again cesarean section 22 cases; grade Ⅲ uterine scar 35 cases, scheduled cesarean section planned. Conclusion: The first cesarean section history is not the absolute indication of cesarean section again. It is safe and feasible to perform vaginal delivery according to the specific conditions of the mother.