Clinical analysis of the scarred uterus becoming pregnant again via vaginal delivery
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摘要:
目的 探讨疤痕子宫再次妊娠经阴道试产的成功率与安全性。 方法 回顾性分析我院2015～2016年收治的200例疤痕子宫再次妊娠有条件经阴道试产的孕妇(观察组）和同期收治的200例非疤痕妊娠经阴道试产孕妇（对照组）的临床资料，统计分析分娩方式。 结果 观察组200例试产成功97例，成功率48.5%，与对照组比较发现产程时间、产时出血量、产褥感染、新生儿预后、住院时间都没有显著性差异（P ＞0.05），但剖宫产率及阴道助产率增加，无一例发生子宫破裂。结论在有阴道试产的合适条件下，疤痕子宫再次妊娠经阴道试产是成功的、安全的、可推行的，在一定程度上降低了剖宫产率，但需严格掌握指征，减少母婴并发症。 Abstract:Objective To discuss the success rate and the safety of the scarred uterus becoming pregnant again in Trial of Labour (TOL) via Vagina. Methods The clinical data of the 200 women with scarred uterus becoming pregnant again in TOL appropriately in the observation group from 2015 to 2016 in our hospital were retrospectively analyzed. Another 200 pregnant women with unscarred uterus in TOL were recruited at the same time in the hospital as comparison group. The types of delivery were analysed. Results In the Observation Group there were total of 200 in TOL, in which 97 were successful; the success rate was 48.5%. It was found that, compared to the Comparison Group, there were no significant differences (P ＞0.05) in the length of delivery, the amount of perinatal blood loss, the puerperal infection, the prognosis of the neonates and the length of hospitalization. The rate of caesarean sections and the rate of assisted vaginal deliveries were increased, however there was no single case with ruptured uterus. Conclusion Under the appropriate condition, it is successful, safe and practical in TOL in scarred uterus becoming pregnant again. It decreases the rate of caesarean section, to a certain degree, but the criteria of TOL needs to be strictly controlled in order to reduce the complications of the mother and the baby. -
Key words:
- scarred uterus /
- becoming pregnant again /
- trial of Labour via vagina
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