阴道分娩与剖宫产对瘢痕子宫再次妊娠产妇母婴结局的影响

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【摘要】目的：探讨阴道分娩与剖宫产对瘢痕子宫再次妊娠产妇母婴结局的影响。方法：选取86例瘢痕子宫再次妊娠产妇为研究对象，根据随机抽签法进行分组。对照组与研究组产妇分别行再次剖宫产及阴道分娩。对比两组产妇的分娩情况、各应激反应指标变化及母婴结局。结果：研究组产中出血量及住院时间较对照组更少，产程时间较对照组更长，新生儿出生后5min及10min时新生儿Apgar评分较对照组更高（P

【关键词】阴道分娩；再次剖宫产；瘢痕子宫；母婴结局

Influence of vaginal delivery and repeat cesarean section on maternal and infant outcomes of re-pregnancy with scar uterus

YIN Zhongxia

Zaozhuang Maternal and Child Health Hospital， Zaozhuang， Shandong 277000， China

【Abstract】Objective： To investigate the effect of vaginal delivery and repeat cesarean section on maternal and infant outcomes of repregnancy with scar uterus. Methods： A total of 86 pregnant women with scarred uterus were selected as the research objects， and they were divided into groups according to the random drawing method. The puerperae in the control group and the study group underwent repeat cesarean section and vaginal delivery， respectively. The delivery status， changes of stress response indicators and maternal and infant outcomes were compared between the two groups. Results： Compared with the control group， the intrapartum hemorrhage volume and hospital stay in the study group were less， the labor process time was longer than that in the control group， and the neonatal Apgar score was higher at 5 and 10 minutes after birth（P

【Key？Words】Vaginal delivery； Repeat cesarean section； Scarred uterus； Maternal and infant outcomes

瘢痕子宫是因子宫手术而导致形态结构改变并由组织修复而形成的瘢痕，近年来随着国家生育政策的调整及剖宫产手术指征的放宽，瘢痕子宫再次妊娠产妇在产科临床的占比也逐年增加，在一定程度上增加了子宫破裂、大出血等不良事件的发生风险，常给母婴结局造成不利影响[1]。（剩余4094字）