疤痕子宫阴道分娩的可行性及注意事项

摘要

Objective To analyze the feasibility and matters need attention of uterine scar vaginal delivery. Method 70 cases of uterine scar vaginal delivery were selected as the observation group,70 cases of non-scarring of the uterus vaginal delivery at the same period were selected as the the control group,The success rate of vaginal trial production and the incidence of uterine rupture in the observation group were observed,The amount of bleeding,birth process,Apgar score and the hospitalization time in two groups were compared. Results There were 62 cases(88. 6%)successful vaginal delivery in 70 patients in the observation group,no uterine rupture;The difference of the inci-dence of neonatal asphyxia,amount of bleeding,birth process,Apgar score and the hospitalization time in two groups had no statistical sig-nificance(P>0. 05). Conclusion Uterine scar vaginal delivery is safety and feasible,to control maternal contraindications and indications strictly,observe the production process closely and do well prenatal preparation,can ensure motherhood safety.%目的：对疤痕子宫阴道分娩的可行性及注意事项进行分析研究。方法：选取70例疤痕子宫阴道分娩者设为观察组，选取同期70例非疤痕子宫阴道分娩者设为对照组，观察疤痕子宫阴道分娩者的阴道试产成功率及子宫破裂发生情况，比较两组产时出血量、产程、新生儿Apgar评分、住院时间。结果：观察组70例患者中62例（88.6%）阴道分娩成功，8例转剖宫产，无子宫破裂发生；两组产妇在新生儿窒息发生率、产时出血量、Apgar评分、平均产程、住院时间方面比较，差异无统计学意义（ P>0.05）。结论：疤痕子宫阴道分娩安全、可行，应严格掌握产妇禁忌证与适应证，严密观察产程，做好产前准备工作，确保母婴安全。