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目的:观察疤痕子宫足月妊娠经阴道试产产程特点及临床结局。方法:将2016年1月至2017年1月本院收治的疤痕子宫足月妊娠产妇与初次妊娠足月产妇为本次研究对象。按照随机分配原则,将38例疤痕子宫足月妊娠产妇分为观察组,38例初次妊娠足月产妇为对照组。观察两组产妇阴道试产成功率、在潜伏期、活跃期、产时出血量、总产程评分。结果:观察组阴道试产成功率明显低于对照组(52.63%VS81.58%),P<0.05。且两组产妇在潜伏期、活跃期、产时出血量、总产程评分比较差异无统计学意义,P>0.05。结论:疤痕子宫足月妊娠产妇经过综合评估,并严密监测产程情况,安全性高,可减少重复剖宫产带来的伤害。临床上具有重要意义。
Objective: To observe the characteristics and clinical outcome of transvaginal trial of labor during full-term pregnancy of scar. Methods: January 2016 to January 2017 in our hospital were treated with full-term pregnant women with full-term pregnancy and full-term pregnant women as the study object. In accordance with the principle of random distribution, 38 cases of uterine scar full-term pregnant women were divided into observation group, 38 cases of first-term full-term pregnant women as the control group. Observe the success rate of two groups of maternal vaginal trial, in the incubation period, active phase, the amount of bleeding during delivery, the total labor process score. Results: The success rate of vaginal trial in observation group was significantly lower than that in control group (52.63% vs 81.58%, P <0.05). There was no significant difference between the two groups in latent period, active stage, intrapartum hemorrhage, and total labor scale (P> 0.05). Conclusion: The full-term pregnant women with scar-shaped uterus after full-term pregnancy through comprehensive assessment, and closely monitor the labor process, high safety, can reduce the damage caused by repeated cesarean section. Clinically important.