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近年来为降低母婴死亡率,剖腹产手术率有上升的趋势,因此有疤痕子宫的妇女增多。这些妇女日后再孕时,对母婴都有很大的威胁。选择分娩时机及分娩方式有一定的困难,因为影响疤痕牢固愈合的因素很多如:前次手术的指征和妊娠月份,手术方法和技术条件,术后经过的情况及再次妊娠的时间等。本文观察了420例有疤痕子宫的孕妇,其中287例(68.4%)再次剖腹产,133名(31.6%)经自然产科试产。后者前次手术的指征为:38例(28.6%)为胎盘早剥,27例(20.3%)为前置胎盘,23例(17.3%)为临床狭窄骨盆,17例(12.7%)为重症晚期妊高征和
In recent years to reduce maternal and infant mortality, caesarean section rate has risen, so there are more women with scarring uterus. When these women are pregnant again in the future, they pose a great threat to mothers and babies. Choose the timing of childbirth and delivery methods have some difficulties, because the impact of scar solid healing of many factors such as: the last indication of the operation and the month of pregnancy, surgical methods and technical conditions, after the situation and the time of pregnancy again. In this paper, we observed 420 pregnant women with scarred uterus, of whom 287 (68.4%) had another cesarean section and 133 (31.6%) had natural obstetric trials. The latter indications for the previous surgery were: 38 cases (28.6%) with placental abruption, 27 cases (20.3%) with placenta previa, 23 cases (17.3%) with clinical narrow pelvis and 17 cases Severe late pregnancy induced hypertension and