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目的:探讨瘢痕子宫再度足月妊娠选择自然分娩对孕产妇和胎儿的影响。方法:择取我院收治的120例瘢痕子宫再度足月妊娠孕妇作为研究对象,收治时间为2013年3月至2015年3月,按照随机数字法进行分组,共分为对照组与观察组两组,每组孕妇均占据60例。其中对照组行剖宫产手术,而观察组选择自然分娩,比较两种手术方式的临床效果。结果:观察组瘢痕子宫再度足月妊娠孕妇的出血量及产褥期感染发生率明显低于对照组孕妇(P<0.05);而观察组新生儿窒息发生率及新生儿出生后Apgar评分与对照组比较无明显差异(P>0.05)。结论:瘢痕子宫再度足月妊娠孕妇满足自然分娩的条件时,可选择自然分娩,能够有效改善母婴的预后,降低产褥期感染发生率。
Objective: To investigate the effect of natural childbirth on pregnant women and fetus after scar pregnancy. Methods: One hundred and twenty cases of full-term pregnant women with scar-shaped uterus admitted to our hospital were selected as study subjects. The patients were treated by random number method from March 2013 to March 2015, and divided into control group and observation group two Group, each group of pregnant women occupy 60 cases. The control group underwent cesarean section, while the observation group chose natural childbirth. The clinical effects of the two surgical methods were compared. Results: The amount of bleeding and puerperal infection in pregnant women with full-term uterus after scar pregnancy was significantly lower than that of pregnant women in control group (P <0.05). The incidence of neonatal asphyxia and neonatal Apgar score after birth in the observation group were significantly lower than those in the control group No significant difference (P> 0.05). CONCLUSION: Pregnant women with full-term pregnancy after scar pregnancy can choose natural childbirth, which can effectively improve their prognosis and reduce the incidence of puerperium infection.