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目的探讨瘢痕子宫再次妊娠阴道分娩方式的选择。方法对我院共收治瘢痕子宫住院分娩患者110例临床资料进行回顾性分析,比较瘢痕子宫再再次妊娠的孕妇选择经阴道分娩和采取剖宫产两种不同处理方式的母婴结局。结果试产25例,成功21例,成功率84.0%。试产组产后出血量、产后发热率、住院天数均低于剖宫产组,差异均有统计学意义(P<0.05),但两组在新生儿体重方面比较差异无统计学意义(P>0.05)。结论对于瘢痕子宫孕产妇要加强瘢痕子宫孕产妇应围产期保健,在严格掌握试产条件的情况下,采取阴道分娩是可行的,并且具有并发症低,住院时间短,花费小的优点,我们要提倡自然分娩。
Objective To explore the choice of vaginal delivery mode for uterine scar pregnancy. Methods A total of 110 clinical cases of hospitalized patients with scar-shaped uterus admitted to our hospital were retrospectively analyzed. Maternal and infant outcomes were compared between two methods of vaginal delivery and cesarean delivery. Results Trial production in 25 cases, 21 cases of success, the success rate of 84.0%. The amount of postpartum hemorrhage, the rate of postpartum fever and hospital stay in trial group were lower than those in cesarean section (P <0.05), but there was no significant difference between the two groups in newborn weight (P> 0.05). Conclusion It is feasible to take vaginal delivery in the case of scar uterine maternal pregnancy to strengthen perinatal care of scar uterine maternity. It is feasible to take vaginal delivery strictly, and has the advantages of low complication, short hospital stay, low cost, We want to promote natural childbirth.