摘要
Abstract
Objective To study the complications in vaginal deliveries of pregnant women with scarred uteruses. Methods180 women with pregnancies between 37 to 42 weeks who were in the obstetrical department of Shenzhen Longhua New District Central Hospital from January 2014 to January 2016 were selected, 90 pregnant women with normal uteruses were assigned to control group,90 re-pregnant women with scarred uteruses were assigned to observation group. Both two groups adopted spontaneous vaginal deliveries,the delivery outcomes and postpartum complications of the two groups were compared and analyzed.ResultsThe puerperal endometritis rates, obstetric infection rates, and hospitalization time of the two groups were not obviously different(P>0.05).In the observation group,the bleeding amount within 24 hours after delivery,midwifery proportion,and threatened uterus rupture rate were more or higher than those of the control group, while the differences were not obvious(P>0.05),there were no statistical significances.ConclusionBased on fully grasping of the contraindications and indications by vaginal birth trial,with effective preventions, carefully monitoring, and timely discovery & processing mechanism, the re-pregnant women with scarred uteruses can adopt spontaneous vaginal deliveries.Though some re-pregnant women with scarred uteruses suffered complications,compared with the pregnant women with normal uteruses, the incidence of complications is still within a controllable range.Therefore, we recommend re-pregnant women with scarred uteruses attempting vaginal deliveries,if they meet vaginal delivery conditions and physical conditions.关键词
瘢痕子宫/阴道分娩/并发症Key words
Scarred uterus/Vaginal delivery/Complications分类
医药卫生
