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目的探讨瘢痕子宫再次妊娠的临床处理方法和效果。方法选择虞城县妇幼保健院2011年1月至2012年12月之间收治的50例瘢痕子宫再次妊娠产妇为实验组观察对象,同时选择90例正常分娩产妇为对照组,对比两组产妇母婴并发症发生率、产后和产时情况以及分娩方式。结果实验组产妇住院时间、新生儿窒息率、新生儿Apgar评分、产时出血量和产程时间等指标均显著优于剖宫产正常产妇,且具有显著的统计学差异(P<0.05)。实验组产妇与经阴道分娩的正常产妇对比则无明显的统计学差异(P>0.05)。结论瘢痕子宫再妊娠产妇选择恰当的分娩方式,能够显著提高其分娩安全性。
Objective To investigate the clinical treatment and effect of uterine scar pregnancy again. Methods 50 cases of uterine scar re-pregnancy in Yucheng County Maternal and Child Health Hospital from January 2011 to December 2012 were selected as experimental group and 90 cases of normal delivery maternal as control group. Incidence of infant complications, postnatal and maternal conditions, and mode of delivery. Results The length of maternal hospital stay, neonatal asphyxia, neonatal Apgar score, the amount of bleeding during labor and the duration of labor were all significantly better in experimental group than those in normal cesarean section. There was a significant difference (P <0.05). There was no significant difference between the experimental group and normal vaginal delivery women (P> 0.05). Conclusion The choice of proper mode of delivery for pregnant women with uterine scar pregnancy can significantly improve the safety of childbirth.