论文部分内容阅读
目的探讨剖宫产瘢痕子宫再次妊娠合理的分娩方式。方法回顾性分析160例瘢痕子宫再次妊娠孕妇分娩方式的临床资料。结果试产114例,阴道分娩88例,成功率77.1%,未发生子宫破裂,出血量平均170mL,新生儿Apgar 1min评分(9.0±0.30)分。再次剖宫产46例,其中32例存在绝对剖宫产指征,14例拒绝试产,出血量(400±50)mL,新生儿Apgar 1min评分(8.8±0.2)分。结论对于剖宫产后瘢痕子宫再次妊娠的孕妇,在排除阴道分娩的禁忌证后可以给予试产机会,以提高阴道分娩的成功率,降低剖宫产率。
Objective To investigate the reasonable mode of delivery for cesarean scar pregnancy again. Methods A retrospective analysis of 160 pregnant women with uterine scar pregnancy again mode of delivery of clinical data. The results of trial production 114 cases, 88 cases of vaginal delivery, the success rate of 77.1%, uterine rupture did not occur, the average amount of bleeding 170mL, Neonatal Apgar 1min score (9.0 ± 0.30) points. Again cesarean section in 46 cases, of which 32 cases of absolute cesarean indications, 14 cases refused to trial, bleeding (400 ± 50) mL, neonatal Apgar 1min score (8.8 ± 0.2) points. Conclusions Pregnant women with cesarean scar pregnancy after cesarean section may give pilot births after contraindications of vaginal delivery to improve the success rate of vaginal delivery and reduce the rate of cesarean section.