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目的探讨剖宫产瘢痕子宫再次妊娠患者的分娩方式及临床效果。方法选择瘢痕子宫再次妊娠患者76例,依据其具体情况将其分为剖宫产组35例和阴道分娩组41例,比较两种分娩方式的妊娠结局。结果阴道分娩组平均出血量少于剖宫产组,初次母乳喂养时间短于剖用产组,住院时间短于剖宫产组,新生儿Apgar评分高于剖宫产组,差异有统计学意义(P<0.05);阴道分娩组患者产褥期感染率(5.7%)低于剖宫产组(26.8%),差异有统计学意义(P<0.05)。结论剖宫产瘢痕子宫再次妊娠患者采用阴道分娩方式能够降低出血量,缩短初次母乳喂养时间、住院时间,降低患者产褥期感染率,提高新生儿Apgar评分。
Objective To investigate the mode of delivery and clinical effect of cesarean scar pregnancy again. Methods 76 cases of uterine scar pregnancy again, according to their specific circumstances will be divided into 35 cases of cesarean section and 41 cases of vaginal delivery group, compared the two modes of delivery of pregnancy outcome. Results The average amount of bleeding in the vaginal delivery group was less than that in the cesarean section group. The initial breastfeeding time was shorter than that in the cesarean section group, the length of stay in hospital was shorter than that in the cesarean section group, and the neonatal Apgar score was higher than that in the cesarean section group (P <0.05). The incidence of puerperium infection in vaginal delivery group (5.7%) was lower than that in cesarean section group (26.8%), the difference was statistically significant (P <0.05). Conclusion Cesarean scar pregnancy and uterine pregnancy in patients with vaginal delivery can reduce the amount of bleeding, shorten the time of initial breastfeeding, hospitalization, reduce the incidence of puerperium patients, and improve neonatal Apgar score.