局解手术学杂志2016，Vol.25Issue(12)：875-878,4.DOI:10.11659/jjssx.10E016036
71例瘢痕子宫阴道试产的母儿结局分析
Clinical analysis on maternal and neonatal outcomes for 71 pregnant women with scarred uterus
摘要
Abstract
Objective To evaluate the comprehensive indexes of the outcome of vaginal delivery in full-term pregnancy with caesarean scar.Methods Full-term pregnant women without any contraindications of vaginal delivery in 416 Hospital of China National Nuclear Corpo-ration from January 2015 to May 2016 were enrolled in the study.According to the delivery outcomes,the pregnant women with cesarean scars were divivded into successful group and failed group.The clinical data and relevent risk factors of maternal and fetal outcomes in two groups were analyzed comprehensively.Results Fifty-one cases have succeeded 7 1 pregnant women,20 cases failed.There were significantly differ-ences in perinatal complications,cervical ripening,the amount of postpartum bleeding,the time of colostrums spontaneous secretion and breastfeeding,neonatal weight between the two groups(P<0.05).There was no significant difference in the incidence of neonatal complica-tions between the two groups(P>0.05 ).Conclusion Full-term pregnant women with caesarean scar had a higher success rate of vaginal delivery under conditions of Bishop score>5 ,without pregnancy complication,which recoverd quickly with short hospitalization time.Failed vaginal delivery group applied repeated cesarean section,then resulted in favorable pregnancy outcomes.关键词
瘢痕子宫/足月妊娠/阴道试产/分娩结局/影响因素Key words
scarred uterus/full-term pregnancy/trial of labor/pregnancy outcome/affecting factors分类
医药卫生引用本文复制引用
胡琴,包碧惠,王静依,王鹏,何剑英,黄闻滢,刘海凤,吴欣瑜..71例瘢痕子宫阴道试产的母儿结局分析[J].局解手术学杂志,2016,25(12):875-878,4.基金项目
成都市卫计委基金-剖宫产后再次妊娠阴道分娩的可行性研究 （）
