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目的探讨瘢痕子宫再次妊娠临床特点。方法本次研究选择我院2009年5月至2011年5月收治的瘢痕子宫再次妊娠的孕妇78例,对其临床资料进行回顾性分析。结果本组78例患者中,30例临产经产道自然分娩,均有阴道分娩史,无一例子宫破裂,Apgar评分>6分,瘢痕子宫再次阴道分娩率为38.5%。新生儿体质量为2690～3860g,孕期为38～41周。结论瘢痕子宫再次妊娠的孕妇,剖宫产指征不可随意扩大,对阴道试产的禁忌证和适应征进行确定,密切观察产程,确保试产安全,使患者成功阴道分娩,提高生存质量。
Objective To investigate the clinical features of uterine scar pregnancy again. Methods This study selected 78 cases of pregnant women with uterine scar pregnancy again from May 2009 to May 2011 in our hospital. The clinical data were retrospectively analyzed. Results Among the 78 patients in this group, 30 cases of spontaneous labor through the birth canal, all have vaginal delivery history, no case of rupture of the uterus, Apgar score> 6 points, uterus scar re-vaginal delivery rate was 38.5%. Neonatal body weight of 2690 ~ 3860g, 38 to 41 weeks of pregnancy. Conclusion Pregnant women with scar uterine pregnancy again, cesarean section indications can not be arbitrarily enlarged, contraindications and indications for vaginal trial production to determine the close observation of labor, to ensure pilot safety, so that patients with successful vaginal delivery and improve the quality of life.