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目的:探讨经阴道分娩在瘢痕子宫再次妊娠中的安全性与可行性。方法:选择2014年1月-2016年1月期间我院收治的瘢痕子宫再次妊娠产妇130例为研究对象,所有产妇均行阴道试产,其中阴道试产成功的80例为观察组,而阴道试产失败转为剖宫产的50例为对照组,对两组的分娩结果进行比较分析。结果:两组均顺利完成分娩,与对照组相比,观察组的并发症发生率较低,组间比较差异明显(P<0.05);同时,两组的产时出血量、产后出血量、住院时间以及新生儿Apgar评分对比有明显差异(P<0.05)。结论:临床上给予瘢痕子宫再次妊娠产妇经阴道分娩,具有较高的安全性和可行性,可以提高分娩质量。
Objective: To investigate the safety and feasibility of transvaginal delivery in scar pregnancy again. Methods: From January 2014 to January 2016 in our hospital during the treatment of scar uterine pregnancy again 130 cases of pregnant women as the research object, all the mothers were vaginal trial production, of which 80 cases of successful vaginal trial for the observation group, while the vagina Fifty cases of failed cesarean section as the control group were compared and the results of delivery were compared between the two groups. Results: The delivery was completed successfully in both groups. Compared with the control group, the complication rate in the observation group was lower and the difference was significant (P <0.05). At the same time, the incidences of labor-induced bleeding, postpartum hemorrhage, There were significant differences in the length of hospital stay and neonatal Apgar scores (P <0.05). Conclusion: It is safe and feasible to give vaginal delivery of pregnant women with uterine scar pregnancy again, which can improve the quality of childbirth.