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目的:研究瘢痕子宫产妇再次分娩时,分娩时机的选择以及不同分娩方式的结局。方法:选取瘢痕子宫产妇80例作为研究对象,依据产妇意愿分别行阴道试产分娩和剖宫产,观察两组患产妇的分娩指标和母婴情况。结果:40例阴道试产患者采用胎头牵引、臀部牵引、会阴侧切,共计分娩成功率为70.0%,剖宫产患者均成功分娩。两组在新生儿感染、窒息、Apger评分上差异不大,不具有统计学意义(P>0.05)。但阴道试产组患者产后出血量少、住院时间短,和剖宫产组相比差异明显。P<0.05,差异有统计学意义。结论:瘢痕子宫产妇再次分娩时,除剖宫产外可以尝试进行阴道试产,能够减少出血量、缩短住院时间,改善母婴结局。
Objective: To study the choice of timing of delivery and the outcome of different modes of delivery when maternal uterine scar delivery again. Methods: 80 cases of uterine scar were selected as the research object. According to the mothers’ wishes, vaginal trial delivery and cesarean section were performed respectively. Obstetric delivery indexes and maternal and infant conditions were observed in both groups. Results: 40 cases of vaginal trial of patients with fetal head traction, hip traction, perineal episiotomy, the total delivery success rate was 70.0%, cesarean section patients were successfully delivered. There was no significant difference between the two groups in neonatal infection, asphyxia and Apger score (P> 0.05). But vaginal trial group patients with less postpartum hemorrhage, shorter hospital stay, and cesarean section compared to significant differences. P <0.05, the difference was statistically significant. Conclusion: When the uterus scar is delivered again, besides the cesarean section, it is possible to try the vaginal trial, which can reduce the amount of bleeding, shorten the hospitalization time and improve the maternal and infant outcomes.