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目的研究瘢痕子宫再次妊娠产妇不同分娩方式对母婴的影响。方法 74例瘢痕子宫再次妊娠分娩产妇,根据分娩方式不同分为研究组A(选择剖宫产)和研究组B(选择阴道顺产),各37例。同时选择同期入院的37例首次剖宫产产妇作为对照组A,37例非瘢痕子宫阴道分娩产妇作为对照组B。对比分析各组间母婴情况。结果研究组A出血量为(363.1±97.6)ml,住院时间为(12.4±3.4)d,新生儿体重(3.2±1.4)kg,新生儿患病率为2.7%,研究组B出血量为(124.7±33.9)ml,住院时间为(3.9±1.6)d,新生儿体重(3.2±1.3)kg,新生儿患病率为5.4%(2/37);研究组B出血量和住院时间明显优于研究组A(P<0.05)。对照组A出血量和住院时间明显优于研究组A(P<0.05)。研究组B和对照组B在出血量、住院时间、新生儿体重及新生儿患病率比较差异无统计学意义(P>0.05)。结论瘢痕子宫再次妊娠采用剖宫产会增加手术出血量和住院时间,使并发症发生风险提高,临床上在确保母婴安全的前提下,尽可能建议产妇选择阴道分娩方式进行生产。
Objective To study the effects of different modes of delivery on pregnant women and mothers in pregnant women with scar uterine re-pregnancy. Methods Seventy - four cases of uterus with scar pregnancy were divided into study group A (selective cesarean section) and study group B (vaginal cisternia) according to different modes of delivery, and 37 cases in each group. At the same time choose the same period of admission of 37 cases of cesarean section for the first time as a control group, 37 cases of non-scarring vaginal delivery of maternal as control group B. Comparative analysis of maternal and child conditions among the groups. Results The bleeding volume of study group A was (363.1 ± 97.6) ml, the length of hospital stay was (12.4 ± 3.4) days, the weight of neonates was (3.2 ± 1.4) kg and the prevalence of neonates was 2.7% 124.7 ± 33.9) ml. The length of hospital stay was (3.9 ± 1.6) days and the weight of newborns was (3.2 ± 1.3) kg. The neonatal prevalence rate was 5.4% (2/37). The bleeding volume and length of stay in study group B were significantly better In study group A (P <0.05). Blood loss and hospital stay in control group A were significantly better than that in study group A (P <0.05). Study group B and control group B had no significant difference in the amount of bleeding, length of hospital stay, newborn weight and neonatal prevalence (P> 0.05). Conclusion Cesarean section with uterine scar pregnancy again will increase the amount of surgical bleeding and hospital stay, so that the risk of complications increased clinically to ensure the safety of mothers and maternal premise, as far as possible, mothers choose vaginal delivery mode of production.