宫颈成熟度对剖宫产术后再次妊娠阴道试产结局的影响

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[Abstract]Objective： To investigate the impact of cervical maturityon the outcomes of trial of labor after cesarean （TOLAC）.Method： A retrospective analysis was conducted on 102 pregnant women with TOLAC who were admittedto from May 202 to October 2024.They weredivided into the observation group （<8 points，45 cases）and the control group （≥8 points，57cases）according to the Bishop score. Therats of natural delivery，cesareansection，bladder injury，puerperal infection，duration of labor，postpartum 24 hour hemorhage volume，and psychological conditions at1day before delivery，1 week after delivery，and 4 weeks after delivery were compared between the two groups.The Apgar scores of newborns 1 minute and5 minutes after birth were also compared between the two groups.Result： The natural delivery rate in the observation group was lower than that in the control group，the cesarean section rate， puerperal infection rate and postpartum 24h （2 hemorrhage volume inthe observation group were higher than those in the control group，and the duration of labor was longer than that in the control group （ P <0.05）.There was no statistically significant difference in bladder injury rate between the two groups （ P> 0.05）.At 1 week and 4 weeks after delivery，the Edinburgh postnatal depression scale （EPDS）scores of the parturients in the observation group were higher than those in the control group （ P <0.05）. The Apgar scores of the newborns in the observation group atl minute and 5 minutes after birth were lowerthan those in the control group（ P <0.05）.Conclusion：Pregnant women with poor cervical maturity （Bishop score <8 points） have poorer delivery outcomes during vaginal trial labor，including a lower rate of natural delivery，a higher rateof cesarean section，prolonged labor，a lower Apgarscore for newborns，anda higher risk of postpartum depression for parturient.This result suggests that for pregnant women with poor cervical maturity，it is necessary to strengthen pregnancy managementand labor monitoring to improve the delivery outcome and the health of both the mother and the baby.

[KeyWords]Cervical maturityTrial of labor after cesareanPregnancy outcomesNeonatal Apgar scores ostpartum depression

First-author'saddress：Department of Obstetrics， Maternal and ， izhou 344000，China

doi：10.3969/j.issn.1674-4985.2025.32.029

自我国施行“全面二孩”以来，我国剖宫产率逐年上升，剖宫产术后再次妊娠阴道试产（trialoflaboraftercesarean，TOLAC）成为产科临床中备受关注的课题[l。（剩余6122字）