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目的:总结瘢痕子宫再次妊娠阴道试产成功与失败的原因。方法:珠海市人民医院2014年2月至2016年8月共246例瘢痕子宫再次妊娠孕妇进行试产,以试产失败转剖宫产的孕妇为研究组(n=53),以阴道分娩成功的孕妇为对照组(n=193),比较两组孕妇的年龄、产前体重指数、头盆评分、宫颈评分、新生儿体重、产后出血量、住院天数。结果:与对照组比较,研究组孕妇年龄、产前体重指数明显高(均P<0.05),头盆评分显著低(P<0.01),新生儿体重显著重(P<0.01),产后出血量及住院天数均明显增多(均P<0.05)。结论:对瘢痕子宫孕妇严格孕期管理及控制胎儿体重,合理选择阴道试产孕妇,可提高瘢痕子宫再次妊娠阴道试产成功率,节省医疗资源。
Objective: To summarize the causes of successful and failed vaginal trial of scar pregnancy. METHODS: A total of 246 pregnant women with scarred uterus from February 2014 to August 2016 from Zhuhai Municipal People’s Hospital were trial-produced, and the pregnant women who failed to turn cesarean section into trial group (n = 53) (N = 193). The age, prenatal body mass index, head basin score, cervical score, newborn weight, postpartum hemorrhage and hospital stay were compared between two groups. Results: Compared with the control group, the pregnant women ’s age and prenatal body mass index were significantly higher (all P <0.05), the head basin score was significantly lower (P <0.01), the newborn weight was significantly heavier (P <0.01), the amount of postpartum hemorrhage And hospitalization days were significantly increased (all P <0.05). Conclusion: The strict maternity management and fetus weight control for pregnant women with scar uterus and the rational selection of pregnant women during vaginal delivery can improve the success rate of vaginal pregnancy trial of scar uterine pregnancy and save medical resources.