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目的探讨剖宫产后瘢痕子宫再次妊娠的分娩方式。方法 100例剖宫产后再次妊娠孕妇,根据两次分娩方式的不同,将阴道分娩孕妇作为观察组B(40例),将选择剖宫产分娩孕妇作为观察组A(60例);选择同期非瘢痕子宫阴道分娩孕妇作为对照组B(40例),首次剖宫产生产孕妇作为对照组A(60例)。对比分析四组孕妇妊娠结局以及母婴并发症发生情况。结果 100例剖宫产后再次妊娠妇女中,47例行阴道试产,成功40例,阴道分娩率为40.00%,其余60例行剖宫产,剖宫产率为60.00%;观察组A产妇产后出血量和住院时间明显高于观察组B(P<0.05);观察组A产妇产后出血、切口乙级愈合、严重粘连发生率均显著高于对照组A(P<0.05);观察组B产后出血量显著高于对照组B(P<0.05)。结论对剖宫产后瘢痕子宫再次妊娠孕妇,在严格掌握经阴道分娩指征的基础上,选择阴道分娩是可行的。
Objective To investigate the mode of delivery after cesarean scar pregnancy again. Methods According to the different modes of delivery, 100 pregnant women of cesarean section after pregnancy were selected as observation group B (40 cases) and pregnant women of cesarean section delivery as observation group A (60 cases) Non-scarring uterine vaginal delivery pregnant women as control group B (40 cases), the first cesarean section pregnant women as control group A (60 cases). Comparative analysis of four groups of pregnant women pregnant outcomes and maternal and child complications. Results Among the 100 women who were re-pregnant after cesarean section, 47 patients underwent vaginal trial, 40 were successful and the vaginal delivery rate was 40.00%. The remaining 60 patients underwent cesarean section and the rate of cesarean section was 60.00%. Women in observation group A Postpartum hemorrhage and hospital stay were significantly higher than those in observation group B (P <0.05). The incidence of postpartum hemorrhage, grade B healed and severe adhesion in observation group A was significantly higher than that in control group A (P <0.05) Postpartum hemorrhage was significantly higher than that of control B (P <0.05). Conclusion After cesarean scar pregnancy uterus pregnant women, vaginal delivery strict indications, based on the choice of vaginal delivery is feasible.