摘要
Abstract
Objective To analyze the maternal and neonatal outcomes of vaginal delivery in second pregnancy of women with uterine scars .Methods Totally 214 cases of vaginal delivery in second pregnancy were selected from the Third Hospital of the Chinese People's Liberation Army ,including 116 cases with uterine scar in study group and 98 cases with non-uterine scar in control group . The bleeding loss during delivery ,hospitalization time after delivery ,average maternal labor ,neonatal asphyxia rate and Apgar score were compared between two groups .Results The bleeding loss during delivery and hospitalization time after delivery between two groups showed no significant difference (t value was 0 .42 and 0 .32 ,respectively ,both P > 0 .05) .The average maternal labor and Apgar score between two groups were not significantly different (t value was 0 .48 and 0 .63 ,respectively ,both P > 0 .05) .The rate of neonatal asphyxia in the study group (1 .72％ ) did not show significant difference compared with the control group (1 .02％ ) (χ2 = 0 .09 , P > 0 .05) .The incidence rates of uterine incision laceration ,postpartum hemorrhage ,and puerperal disease in the study group were significantly higher than those in the control group (χ2 value was 6 .48 ,6 .15 and 7 .37 ,respectively ,all P <0 .05) ,while the incidence rates of childbirth difficulties and bad wound healing showed no significant difference (χ2 value was 0 .48 and 0 .79 ,respectively ,both P > 0 .05) .Conclusion The uterine scar isn't an absolute indication for second cesarean section .Vaginal delivery based on trial of labor and careful monitoring is helpful to improve maternal and neonatal outcomes .关键词
疤痕子宫/二次妊娠/阴道分娩/母婴结局Key words
scarring uterus/second pregnancy/vaginal delivery/maternal and neonatal outcome分类
医药卫生
