| 贾莉 周娟 魏霞霞 王慧玲 王波.疤痕子宫妊娠妇女经产道分娩的可行性、安全性和相关危险因素分析[J].现代生物医学进展英文版,2015,15(33):6516-6518. |
| 疤痕子宫妊娠妇女经产道分娩的可行性、安全性和相关危险因素分析 |
| The Feasibility, Safety and Related Risk Factors of Pregnant Women withScaruterus Underwent Vaginal Delivery |
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| DOI： |
| 中文关键词: 疤痕子宫妊娠 自然分娩 可行性 安全性 |
| 英文关键词: Cesarean scar pregnancy Natural childbirth Feasibility Security |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨疤痕子宫妊娠妇女经产道分娩的可行性、安全性和相关危险因素。方法：选择疤痕子宫妊娠妇女120 例，根据分娩
方式的不同分为剖宫产组(80 例)与自然分娩组(40例)，观察再次剖宫产的原因与两组的预后情况。结果：再次剖宫产的指征主要
为疤痕子宫(患者拒绝试产)、产程异常、胎儿窘迫、前置胎盘等。自然分娩组的产时出血量明显少于剖宫产组(P<0.05)，产后出血与
产后感染发生率也均明显低于剖宫产组(P<0.05)。两组的5 分钟Apgar评分对比差异无统计学意义，但自然分娩组新生儿黄疸与
新生儿湿肺发生情况明显低于剖宫产组(P<0.05)。自然分娩组的分娩满意度为97.50%，剖宫产组为83.75%，自然分娩组明显高于
剖宫产组(P<0.05)。结论：疤痕子宫妊娠妇女经产道分娩可行性好，能减少对于产妇与新生儿的影响，安全性佳，但也要根据产妇
的实际情况进行具体选择。 |
| 英文摘要: |
| Objective:To investigate the feasibility, safety, and risk factors of pregnant women with scaruterus underwent vaginal
delivery.Methods:120 cases of pregnant women with scaruterus were selected and divided into the cesarean section group(cesarean
group, 80 cases) and natural childbirth (natural childbirth group, 40 cases) according to the mode of delivery, the causes of cesarean
section again were analyzed and the prognosis of both groups were observed and compared.Results:The main indications for cesarean
section again were uterine scar (patient refused pilot), labor abnormalities, fetal distress and placenta previa, et al. The bleeding in the
natural childbirth group was significantly less than that of the cesarean group(P<0.05), and the incidence rates of postpartum hemorrhage
and postpartuminfection were significantly lower than those of the cesarean section group (P<0.05). No statistically significant difference
was found in the five minutes Apgar score between two groups, but the incidence rates of asphyxia, neonatal jaundice and neonatal wet
lung in the natural childbirth group were significantly lower than those of the cesarean group(P<0.05). The satisfactory rates for childbirth
of natural childbirth group and cesarean group were respectively 97.50% and 83.75%, which was significantly higher in the natural
childbirth group (P<0.05).Conclusion:Pregnant women with scaruterus underwent vaginal delivery was feasible. Vaginal delivery could
reduce the injury to maternal and neonatal and was also safe, but it should be selected according to the actual situation of specific
maternal. |
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