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目的探讨瘢痕子宫再次妊娠分娩时分娩方式的选择。方法回顾性分析郏县人民医院收治的112例瘢痕子宫再次妊娠产妇的临床资料,比较剖宫产与正常阴道分娩的术中平均出血量、住院时间及两种方式分娩的新生儿Apger评分。结果 112例瘢痕子宫再次妊娠分娩产妇直接剖宫产79例;阴道试产33例,成功27例。剖宫产术中平均出血量明显多于阴道分娩,住院时间也明显长于阴道分娩者;两种分娩方式新生儿Apger评分比较差异无统计学意义。结论瘢痕子宫再次妊娠分娩阴道分娩与剖宫产相比利大于弊,提倡经阴道正常分娩。
Objective To investigate the choice of delivery mode during pregnancy and delivery of scar pregnancy. Methods The clinical data of 112 pregnant women with scar uterine pregnancy who were treated in Shexian People’s Hospital were retrospectively analyzed. The average intraoperative blood loss, length of hospital stay and neonatal Apger score were compared between cesarean section and normal vaginal delivery. Results In 112 cases of uterine scar pregnancy, the number of cesarean section was 79 cases. The vaginal trial was performed in 33 cases and 27 cases were successful. The average amount of bleeding in cesarean section was significantly more than that in vaginal delivery, and the hospitalization time was significantly longer than that in vaginal delivery. There was no significant difference in Apger score between two delivery modes. Conclusion Scar pregnancy again vaginal delivery vaginal delivery and cesarean compared to more advantages than disadvantages, to promote normal vaginal delivery.