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目的观察社会因素对剖宫产后瘢痕子宫再次妊娠产妇分娩方式选择的影响。方法收集来咸宁市妇幼保健院就诊临床诊断为剖宫产后瘢痕子宫并再次妊娠待产的孕妇400例,按其在分娩前愿意采取的分娩方式将其分为两组,经阴道分娩组与再次行剖宫产组,分析其一般状况及各种社会因素对其影响,并比较两组对剖宫产近远期风险的了解情况。结果对剖宫产后瘢痕子宫再次妊娠产妇分娩方式选择影响最大的因素为恐惧宫缩痛,再次行剖宫产组为70.0%,而阴道分娩组为35.0%,两组之间的差异具有统计学意义(P<0.05);再次行剖宫产组孕妇对近期危害的了解率为52.1%,对远期危害的了解率为32.5%,而阴道分娩组孕妇分别为75.6%和65.6%,两组孕妇在近期危害及远期危害方面的差异均有统计学意义(P<0.05)。结论社会因素对剖宫产后瘢痕子宫再次妊娠产妇分娩方式的选择具有一定的影响,值得临床医师关注。
Objective To investigate the influence of social factors on the choice of delivery mode of cesarean scar pregnancy again. Methods 400 pregnant women, who were clinically diagnosed as postmenopausal cicatricial uterus and pregnant again, were enrolled in this study. They were divided into two groups according to the modes of delivery that they were willing to take before delivery. The transvaginal delivery group and again Cesarean section was performed to analyze its general status and various social factors on its impact, and to compare the two groups of caesarean section near and far to understand the risk. Results The most influencing factor for choosing the mode of delivery of pregnant women after cesarean scar pregnancy was the fearsome contractions pain. The rate of recurring cesarean section was 70.0% and that of vaginal delivery group was 35.0%. There was statistical difference between the two groups (P <0.05); again cesarean section pregnant women awareness of recent harm was 52.1%, the long-term risk of understanding was 32.5%, while the vaginal delivery group pregnant women were 75.6% and 65.6%, respectively, two Group of pregnant women in the recent hazards and long-term hazard differences were statistically significant (P <0.05). Conclusion Social factors have some influence on the choice of delivery mode of cesarean scar pregnancy again, which is worth to clinicians.