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疤痕子宫再次妊娠阴道分娩的临床结局及可行性分析

蒋美琴 陈霞 凌静

川北医学院学报2016,Vol.31Issue(5):700-703,4.
川北医学院学报2016,Vol.31Issue(5):700-703,4.DOI:10.3969/j.issn.1005-3697.2016.05.022

疤痕子宫再次妊娠阴道分娩的临床结局及可行性分析

Clinical observation and analysis of 53 cases of scar repregnancy with va-ginal delivery

蒋美琴 1陈霞 1凌静1

作者信息

  • 1. 江阴市人民医院产科,江苏 江阴 214400
  • 折叠

摘要

Abstract

Objective:To investigate feasibility and safety of scar term pregnancy with vaginal delivery.Methods:Retrospec-tively analyze 458 cases clinical data of scar repregnancy with vaginal delivery from January 2014 to June 2015 in which 53 patients chose vaginal delivery,as observation group,comparatively analyze 53 random cases (control group)of scar uterine cesarean section. The prognosis of two groups was compared.Results:Compared with the control group,the bleeding volume in observation group was re-duced,shorter hospitalization time,maternal postpartum disease rate,endometritis,cureless incision rate was reduced,The difference was statistically significant (t =25.393,P =0.000;t =4.358,P =0.039;χ2 =3.975,P =0.046;χ2 =6.360,P =0.012).Compared with the control group the neonatal Apgar score,neonatal weight and neonatal wet lung had no statistical significance (t =2.971 ,P =0.088;t =3.756,P =0.055;χ2 =3.087,P =0.079).Conclusion:Scar repregnancy with vaginal delivery in strict control of indications is feasible and conducive to postpartum recovery.

关键词

疤痕子宫/再次妊娠/分娩方式

Key words

Scar uterus/Pregnancy/Delivery mode

分类

医药卫生

引用本文复制引用

蒋美琴,陈霞,凌静..疤痕子宫再次妊娠阴道分娩的临床结局及可行性分析[J].川北医学院学报,2016,31(5):700-703,4.

川北医学院学报

OACSTPCD

1005-3697

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