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目的:分析和探讨剖宫产术后瘢痕子宫产妇再次妊娠的分娩方式及结果情况。方法:随机抽选我院在2016年01月~2016年12月收治的126例剖宫产术后瘢痕子宫产妇。根据分娩方式划为对照组和观察组(每组均有63例患者),分别予以引导分娩试产和剖宫产,并就两组产妇的临床分娩情况和新生儿情况进行比较、分析和统计。结果:临床统计显示,在分娩成功率、产后出血量、新生儿体重方面,观察组均显著高于对照组(P<0.05),对比存在一定的统计学意义。在产褥病率、新生儿窒息率方面,观察组同对照组的差异不大(P>0.05),不具有统计学意义。结论:剖宫产术后瘢痕子宫产妇再次妊娠选择分娩方式时,其阴道分娩和剖宫产均有各自的优势,因此,临床医生应根据产妇情况选择恰当的分娩方式,以保证母婴健康安全。
OBJECTIVE: To analyze and discuss the mode of delivery and result of re-pregnancy of scar maternal uterus after cesarean section. Methods: 126 cases of cesarean scar after uterine cesarean section were randomly selected in our hospital from January 2016 to December 2016. According to mode of delivery were divided into control group and observation group (each group has 63 patients), were guided to trial delivery and cesarean section, and the two groups of maternal clinical delivery and neonatal situation comparison, analysis and statistics . Results: The clinical statistics showed that the observation group was significantly higher than the control group (P <0.05) in the success rate of delivery, postpartum hemorrhage, neonatal body weight, the comparison there is a certain statistical significance. In terms of puerperal morbidity and neonatal asphyxia, there was no significant difference between the observation group and the control group (P> 0.05), which was not statistically significant. Conclusions: After cesarean section, the uterus of pregnant women with uterine scar re-pregnancy choice of delivery mode, the vaginal delivery and cesarean section have their own advantages, therefore, clinicians should choose the appropriate mode of delivery according to maternal health in order to ensure the health and safety of mother and child .