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目的:探讨瘢痕子宫再次妊娠经阴道分娩对母儿的影响。方法:回顾性分析我科2012年6月-2014年6月114例瘢痕子宫再次妊娠的孕妇,经阴道分娩82例,剖宫产42例,分析两组生儿体Apger评分、住院时间、产后出血量及住院费用等情况。结果:经阴道分娩82例,阴道分娩率71.9%(82/114),无1例发生子宫破裂。新生儿体Apger评分比较差异无统计学意义(P>0.05),住院时间、产后出血量及住院费用有显著差异(P<0.05)。结论:瘢痕子宫并非再次剖宫产的绝对指征,严密评估和观察,经阴道分娩是安全可行的。
Objective: To investigate the influence of vaginal delivery of scar pregnancy on pregnant women and children again. Methods: A retrospective analysis of our department from June 2012 to June 2014 114 pregnant women with scar uterine re-pregnancy, vaginal delivery in 82 cases, 42 cases of cesarean section, analysis of two groups of neonatal Apger score, length of stay, postpartum Bleeding and hospitalization costs and so on. Results: 82 cases of vaginal delivery, vaginal delivery rate of 71.9% (82/114), no case of uterine rupture occurred. Neonatal Apger score was no significant difference (P> 0.05), hospitalization time, postpartum hemorrhage and hospitalization costs were significantly different (P <0.05). Conclusion: The scar uterus is not the absolute indication of cesarean section again, and should be closely evaluated and observed. Transvaginal delivery is safe and feasible.