疤痕子宫足月妊娠孕妇阴道分娩的可行性研究
|
摘要
目的探析疤痕子宫足月妊娠孕妇经阴道分娩的可行性。方法选取我院2016年1月-2018年8月收治的疤痕子宫足月妊娠孕妇40例为观察组,选取同期收治的非疤痕子宫足月妊娠孕妇40例为对照组,均经阴道试产,对比两组的阴道分娩率、产程时间等。结果观察组阴道分娩率80.0%与对照组阴道分娩率85.0%对比差异不明显,P>0.05;剔除中转剖宫产的孕妇,两组的阴道分娩成功孕妇的产程时间(潜伏期、活跃期、总产程)、产后24h出血量、住院时间、产褥期感染率以及新生儿的Apgar评分比较:差异均无统计学意义,P>0.05。结论疤痕子宫妊娠并不是剖宫产的绝对指征,在全面了解和掌握临床适应症的前提下,对于符合阴道试产的孕妇,在严密监测下经阴道试产是可行的。
Objective To explore the feasibility of vaginal delivery of scar uterine full-term pregnancy in pregnant women.Methods 40 cases of pregnant women with full-term pregnancy of scar uterus from January 2016 to August 1818 in our hospital were selected as observation group. 40 cases of non-scarred uterine full-term pregnancy were selected as control group, compare the vaginal delivery rate, labor time and so on. Results There was no significant difference between the rate of vaginal delivery in the observation group(80.0%) and the rate of vaginal delivery in the control group(85.0%), P>0.05. Excluding pregnant women who were transferred to cesarean section, there was no significant difference in the duration of delivery(latency, active period, total stage of labor), 24 hours postpartum hemorrhage, length of hospital stay, puerperal infection rate and newborn Apgar score between the two groups, P>0.05.Conclusion Scar uterus pregnancy is not an absolute indication for cesarean section. For pregnant women who are eligible for vaginal trials, it is feasible to closely monitor the vaginal trial.
Objective To explore the feasibility of vaginal delivery of scar uterine full-term pregnancy in pregnant women.Methods 40 cases of pregnant women with full-term pregnancy of scar uterus from January 2016 to August 1818 in our hospital were selected as observation group. 40 cases of non-scarred uterine full-term pregnancy were selected as control group, compare the vaginal delivery rate, labor time and so on. Results There was no significant difference between the rate of vaginal delivery in the observation group(80.0%) and the rate of vaginal delivery in the control group(85.0%), P>0.05. Excluding pregnant women who were transferred to cesarean section, there was no significant difference in the duration of delivery(latency, active period, total stage of labor), 24 hours postpartum hemorrhage, length of hospital stay, puerperal infection rate and newborn Apgar score between the two groups, P>0.05.Conclusion Scar uterus pregnancy is not an absolute indication for cesarean section. For pregnant women who are eligible for vaginal trials, it is feasible to closely monitor the vaginal trial.
引文
[1]李宝香,吴仕元,肖锦艳,等.瘢痕子宫足月妊娠孕妇经阴道分娩可行性探讨[J].山东医药,2015,55(10):68-70.
[2]胡春梅,何小萍,付水平,等.超声检查在瘢痕子宫妊娠分娩方式选择中的价值研究[J].现代诊断与治疗,2015,26(21):4959-4960.
[3]何镭,陈锰,何国琳,等.剖宫产术后再次妊娠阴道分娩孕妇的妊娠结局分析[J].中华妇产科杂志,2016,51(8):586-591.
[4]管建英,孔双,杨晓艳,等.疤痕子宫足月妊娠孕妇阴道分娩产程监测及分娩结局分析[J].实用预防医学,2018,25(8):981-983.
[5]余敏,涂江莲.瘢痕子宫足月妊娠孕妇阴道分娩的临床分析[J].中国医药导报,2015,12(8):74-77.
[6]付娟娟,张妤,王文艳,等.剖宫产术后疤痕子宫足月妊娠分娩方式的临床分析[J].河北医学,2017,23(7):1080-1083.
[7]黄翠莲,吴璇华,赖冬梅,等.瘢痕子宫再次妊娠分娩时机和分娩方式选择的影响因素分析[J].国际妇产科学杂志,2018,45(5):560-563.
[8]田吉顺,潘飞霞,何赛男,等.瘢痕子宫合并前置胎盘孕妇孕中晚期引产的危险因素分析[J].浙江大学学报(医学版),2015,44(3):247-252.
[9]廖晗甦,杨钦灵.瘢痕子宫再次妊娠分娩方式选择的分析[J].广东医学,2016,37(z2):93-95.
[10]张静涛,张蕊,贾蕊莉,等.剖宫产术后瘢痕子宫再次足月妊娠阴道分娩240例临床分析[J].陕西医学杂志,2016,45(5):583-584.
[11]郭长红,元玥,高用娟,等.剖宫产术后瘢痕子宫再次妊娠经阴道分娩影响因素分析[J].临床军医杂志,2018,46(8):950-951,953.
[12]赵红.疤痕子宫足月妊娠孕妇阴道分娩的产程管理及护理研究进展[J].国际医药卫生导报,2016,22(7):1024-1027.
[2]胡春梅,何小萍,付水平,等.超声检查在瘢痕子宫妊娠分娩方式选择中的价值研究[J].现代诊断与治疗,2015,26(21):4959-4960.
[3]何镭,陈锰,何国琳,等.剖宫产术后再次妊娠阴道分娩孕妇的妊娠结局分析[J].中华妇产科杂志,2016,51(8):586-591.
[4]管建英,孔双,杨晓艳,等.疤痕子宫足月妊娠孕妇阴道分娩产程监测及分娩结局分析[J].实用预防医学,2018,25(8):981-983.
[5]余敏,涂江莲.瘢痕子宫足月妊娠孕妇阴道分娩的临床分析[J].中国医药导报,2015,12(8):74-77.
[6]付娟娟,张妤,王文艳,等.剖宫产术后疤痕子宫足月妊娠分娩方式的临床分析[J].河北医学,2017,23(7):1080-1083.
[7]黄翠莲,吴璇华,赖冬梅,等.瘢痕子宫再次妊娠分娩时机和分娩方式选择的影响因素分析[J].国际妇产科学杂志,2018,45(5):560-563.
[8]田吉顺,潘飞霞,何赛男,等.瘢痕子宫合并前置胎盘孕妇孕中晚期引产的危险因素分析[J].浙江大学学报(医学版),2015,44(3):247-252.
[9]廖晗甦,杨钦灵.瘢痕子宫再次妊娠分娩方式选择的分析[J].广东医学,2016,37(z2):93-95.
[10]张静涛,张蕊,贾蕊莉,等.剖宫产术后瘢痕子宫再次足月妊娠阴道分娩240例临床分析[J].陕西医学杂志,2016,45(5):583-584.
[11]郭长红,元玥,高用娟,等.剖宫产术后瘢痕子宫再次妊娠经阴道分娩影响因素分析[J].临床军医杂志,2018,46(8):950-951,953.
[12]赵红.疤痕子宫足月妊娠孕妇阴道分娩的产程管理及护理研究进展[J].国际医药卫生导报,2016,22(7):1024-1027.