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目的分析疤痕子宫再次妊娠自然分娩临床效果。方法选择60例本院在2014年5月~2015年10月之间收治的疤痕子宫再次妊娠者作为实验组,实验组实行阴道试产,另外选择同时期非疤痕子宫实行自然分娩者60例作为对照组,对照组实行自然分娩。总结阴道试产的结果,比较实验组和对照组分娩情况。包括出血量、产程、住院时间、是否发生子宫破裂以及新生儿Aphar分数。结果 52例产妇试产成功,试产成功率为86.67%,8例患者改为剖宫产,剖宫产率为13.33%。两组在出血量和产程等指标上的差异无统计学意义,P>0.05。结论疤痕子宫再次妊娠自然分娩是安全可行的,在实行期间,必须加强对产妇的观察,必要时可改为剖宫产。
Objective To analyze the clinical effect of spontaneous childbirth after scar pregnancy. Methods Sixty pregnant women with uterine scar pregnancy who were treated in our hospital from May 2014 to October 2015 were selected as the experimental group. The experimental group was treated with vaginal trial, and the other 60 cases with spontaneous delivery in the same period of non-scarring uterus Control group, the control group of natural childbirth. Summary of the results of vaginal trial production, compare the experimental group and control group delivery situation. Including the amount of bleeding, labor, length of stay, whether the occurrence of uterine rupture and neonatal Aphar score. Results 52 maternal successful trial, trial success rate of 86.67%, 8 patients changed to cesarean section, cesarean section rate was 13.33%. No significant difference was found between the two groups in indicators of bleeding and labor process, P> 0.05. Conclusion It is safe and feasible for spontaneous labor of scar pregnancy again. During the implementation period, it is necessary to strengthen the observation of the mothers and change to cesarean section if necessary.