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目的分析近10年我院剖宫产术手术指征的构成,探讨瘢痕子宫再次妊娠经阴道分娩的可行性。方法对我院2003年1月～2012年12月所有产妇的临床资料进行回顾性分析。结果近5年我院剖宫产率较前五年明显下降,差异具有统计学意义,主要与因“社会因素”及“瘢痕子宫”行剖宫产率明显下降有关;具有阴道试产指征的“瘢痕子宫”患者,阴道分娩组与剖宫产组相比,产后出血、新生儿窒息率等均无统计学差异。结论瘢痕子宫并非剖宫产绝对指征,对有阴道试产条件的产妇在可以严密监测下阴道试产,最大限度的降低剖宫产率,提高产科质量。
Objective To analyze the constitution of cesarean section indications during the past 10 years in our hospital and investigate the feasibility of transvaginal delivery of scar pregnancy. Methods The clinical data of all the mothers in our hospital from January 2003 to December 2012 were retrospectively analyzed. Results The incidence of cesarean section in our hospital decreased significantly in the recent 5 years compared with the previous five years. The difference was statistically significant, mainly due to the significant decrease of cesarean section rate due to “social factors” and “scarring uterus” Pilot indications of “scar uterus ” patients, vaginal delivery group compared with the cesarean section group, postpartum hemorrhage, neonatal asphyxia no significant difference. Conclusion The uterus of scar is not the absolute indication of cesarean section. The vaginal trial can be conducted under the condition of vaginal trial production to minimize the rate of cesarean section and improve the quality of obstetrics.