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目的探讨瘢痕子宫孕妇进行阴道试产的临床效果。方法 60例瘢痕子宫孕妇,按分娩方式不同将其分为观察组(24例)和对照组(36例),观察组孕妇进行阴道试产,对照组孕妇进行剖宫产。观察比较两组妊娠结局、新生儿的生命质量及产后住院时间。结果观察组孕妇分娩时出血量和产后住院时间明显低于对照组,两组对比差异有统计学意义(P<0.05);两组新生儿的生命质量评分,观察组高于对照组,差异有统计学意义(P<0.05)。结论瘢痕子宫孕妇进行阴道试产,可有效改善分娩状况,降低出血量、减少产后住院时间,新生儿的生命质量评分相对较高,对于符合阴道试产各项指征的瘢痕子宫孕妇,可将此分娩方式作为首选。
Objective To investigate the clinical effect of vaginal trial of pregnant women with scar uterus. Methods Sixty pregnant women with scar uterus were divided into the observation group (24 cases) and the control group (36 cases) according to different modes of delivery. The pregnant women in the observation group were tested vaginally and the pregnant women in the control group were given cesarean section. Observation and comparison of pregnancy outcomes, quality of life of newborns and postpartum hospitalization time. Results The blood loss and postpartum hospitalization time of pregnant women in observation group were significantly lower than those in control group, with significant difference between the two groups (P <0.05). The quality of life scores of newborns in observation group were higher than those in control group Statistical significance (P <0.05). Conclusions The vaginal trial of pregnant women with scar uterus can effectively improve the status of delivery, reduce the amount of bleeding and reduce the length of stay in postpartum period. The newborn’s life quality score is relatively high. For pregnant women with scar uterus in accordance with the indications of vaginal trial, This mode of delivery as a first choice.