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目的:明确阴道分娩在瘢痕子宫足月妊娠孕妇的临床效果及安全性。方法:选取我院在2011年11月-2016年8月接收的172例瘢痕子宫孕妇为主要研究对象,按照分娩方式的不同,将其划分阴道分娩组与剖宫产组,每组孕妇为86例。分析阴道分娩组与剖宫产组孕妇的分娩出血量、分娩成功率、住院时间及术后并发症等情况。结果:阴道分娩组孕妇的分娩出血量相比于剖宫产组孕妇明显更低,但是分娩时间相比之下更长,差异体现出统计学意义(P<0.05);在分娩之后,阴道分娩组孕妇的住院时间相较于剖宫产组孕妇明显较少,术后并发症的发生概率低于剖宫产组孕妇,差异体现出统计学意义(P<0.05)。结论:阴道分娩在瘢痕子宫足月妊娠孕妇中的临床效果显著,经过对阴道试产过程中的严密监护,体现出此类分娩方式安全可行性。
Objective: To clarify the clinical effect and safety of vaginal delivery in full-term pregnant women with scar-shaped uterus. Methods: A total of 172 pregnant women with uterus scar received in our hospital from November 2011 to August 2016 were selected as the main study subjects. According to different modes of delivery, they were divided into vaginal delivery group and cesarean section group, with 86 example. Analysis of vaginal delivery group and cesarean section of pregnant women, the amount of bleeding, delivery success rate, length of stay and postoperative complications and so on. Results: The amount of bleeding in pregnant women in vaginal delivery group was significantly lower than that in cesarean section group, but the delivery time was longer than that in cesarean section group (P <0.05). After delivery, vaginal delivery Group hospitalized pregnant women compared with the cesarean section pregnant women was significantly less, the incidence of postoperative complications less than the cesarean section pregnant women, the difference showed statistically significant (P <0.05). Conclusion: The clinical effect of vaginal delivery in full-term pregnant women with scar-shaped uterus is significant. After careful monitoring during vaginal trial production, this method is safe and feasible.