文档介绍：疤痕子宫经阴道分娩45例临床观察
(作者:___________单位: ___________邮编: ___________)
【摘要】目的:探讨疤痕子宫再次妊娠经阴道分娩的可行性。方法:抽取2002年6月――2008年12月在我院住院的45例剖宫产术后再次妊娠经阴道试产成功分娩为研究组;并与随机抽取同期非疤痕子宫经阴道试产分娩的45例产妇为对照组,对其进行回顾性分析。结果:45例研究组中28例试产成功,%,其中有4例使用阴道助产,%,%;45例非疤痕子宫30例试产成功,%,其中有2例使用阴道助产,占分娩率的 %,手术率占 %,新生儿窒息率、产后出血量、先兆子宫破裂发生率、产褥感染率等两组比较差异无显著意义。结论:疤痕子宫再次妊娠并非是剖宫产的绝对指征,符合试产条件的,在严密观察监护下是可以经阴道试产的。
【关键词】疤痕子宫;再次妊娠;阴道分娩
【Abstract】 objective: to explore the scar uterus during pregnancy again the feasibility of vaginal delivery. Methods: extraction in June 2002 - December 2008 hospital in our hospital from 45 cases during pregnancy again after cesarean section transvaginal trial-produce essfully deliver for team; And the same with the scar uterus randomly transvaginal trial-produce delivery in 45 cases to its maternal as control group, were retrospectively analyzed. Results: 45 patients group, 28 cases of % accding to ess rate, there are4 cases using vaginal birth, accounting for the institutional ShouShuChan %, of %; rate 45 cases of scar uterine 30 cases of ess, trial-produce cosmopolitan, including a ess rate of 2cases, accounting for using vaginal birth rate of surgery %, used for neonatal asphyxia rate %, bleeding, postpartum uterus ruptured and aura ChanRu infection rates, such as no statistically significant difference between the two group