论文部分内容阅读
目的观察及分析瘢痕子宫再度妊娠自然分娩的风险情况。方法将60例足月妊娠瘢痕子宫孕产妇随机分为自然分娩的观察组和实施剖宫产术的对照组,每组30例。观察2组产妇产后出血量、产褥感染情况等,统计新生儿窒息发生率,1 min、5 min Apgar评分情况。结果观察组产妇平均出血量少于对照组,产褥感染率低于对照组(P<0.01)。2组新生儿窒息发生率、1 min、5 min Apgar评分比较,差异均无统计学意义(P>0.05)。结论在瘢痕子宫可以满足良好的自然分娩时,通过自然分娩可提高孕产妇和新生儿的预后效果,降低或者防止出现并发症问题。
Objective To observe and analyze the risk of natural childbirth after scar pregnancy. Methods Sixty pregnant women with term uterine scar pregnancy were randomly divided into observation group of spontaneous labor and control group of cesarean section, 30 cases in each group. The incidence of postpartum hemorrhage and puerperal infection in the two groups were observed. The incidence of neonatal asphyxia, Apgar score at 1 min and 5 min were calculated. Results The average amount of bleeding in the observation group was less than that in the control group, and the rate of puerperal infection was lower than that in the control group (P <0.01). There was no significant difference between the two groups in the incidence of neonatal asphyxia, Apgar score at 1 min and 5 min (P> 0.05). CONCLUSIONS: Prognosis of maternal and newborn infants can be improved by spontaneous labor when the natural uterine scar can be satisfied with good spontaneous delivery, reducing or preventing the complications.