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目的分析瘢痕子宫足月妊娠应用不同分娩方式的可行性。方法回顾性分析100例瘢痕子宫足月妊娠孕妇的分娩方式。结果 100例瘢痕子宫足月妊娠孕妇中,选择剖宫产的65例,占65%,经阴道自然分娩的35例,占35%。选择剖宫产的新生儿Apgar平均评分为(8.76±1.3)分,经阴道自然分娩的新生儿Apgar平均评分为(8.45±2.1)分。两种分娩方式均未对新生儿产生不良影响,差异无统计学意义(t=0.911,P=0.365>0.05)。结论对瘢痕子宫再次妊娠的产妇,产前必须要详细了解历次手术情况,正确判断分娩方式,密切观察产程情况,经阴道分娩也可行。
Objective To analyze the feasibility of applying different modes of delivery in full-term pregnancy of scar. Methods A retrospective analysis of 100 cases of uterine scar pregnancy pregnant women of the mode of delivery. Results 100 cases of uterus full-term pregnancy pregnant women, 65 cases of cesarean section, accounting for 65%, 35 cases of vaginal natural delivery, accounting for 35%. The average Apgar score of newborns with cesarean section was (8.76 ± 1.3) and the average Apgar score of newborns with vaginal delivery was (8.45 ± 2.1). Neither childbirth mode had a negative impact on newborns, the difference was not statistically significant (t = 0.911, P = 0.365> 0.05). Conclusion Maternal pregnancy of uterus scar again, prenatal must learn more about the previous operation, the correct judgment of the mode of delivery, closely observe the status of labor, vaginal delivery is also feasible.