Success rate and safety of vaginal delivery of scar uterine pregnancy after cesarean section

Qi Yan; Zhang Dan

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Success rate and safety of vaginal delivery of scar uterine pregnancy after cesarean section

更新时间：2021-08-23

- Success rate and safety of vaginal delivery of scar uterine pregnancy after cesarean section
- Health Medicine Research and Practice Vol. 17, Issue 5, Pages: 59-62(2020)
- 作者机构：
  
  沈阳市妇婴医院产科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R714.4
- Published：2020，
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[1]戚妍,张丹.剖宫产术后瘢痕子宫妊娠经阴道分娩的可行性及安全性[J].保健医学研究与实践,2020,17(05):59-62.

Qi Yan, Zhang Dan. Success rate and safety of vaginal delivery of scar uterine pregnancy after cesarean section. [J]. Health Medicine Research and Practice 17(5):59-62(2020)
[1]戚妍,张丹.剖宫产术后瘢痕子宫妊娠经阴道分娩的可行性及安全性[J].保健医学研究与实践,2020,17(05):59-62. DOI：

Qi Yan, Zhang Dan. Success rate and safety of vaginal delivery of scar uterine pregnancy after cesarean section. [J]. Health Medicine Research and Practice 17(5):59-62(2020) DOI：

摘要

目的探讨剖宫产术后瘢痕子宫妊娠经阴道分娩的可行性及安全性。方法选取辽宁省某医院2013年4月-2020年1月收治的曾接受过剖宫产术且适合行阴道分娩的128例瘢痕子宫妊娠孕妇作为研究组

选取同一时期符合阴道分娩条件且未接受过剖宫产术的128例正常孕妇作为对照组。比较2组孕妇阴道分娩的成功率、产程时间、产时出血量、住院时间、输血情况、新生儿入住重症监护病房（NICU）率、新生儿评分及产后并发症发生情况。结果研究组孕妇经阴道分娩成功率为67.19%

低于对照组的80.47%

差异有统计学意义（P

0.05）。研究组孕妇第一、第二产程时间均短于对照组

差异有统计学意义（P

0.05）;研究组孕妇第三产程时间长于对照组

但差异无统计学意义（P

0.05）。研究组孕妇住院时间长于对照组

差异有统计学意义（P

0.05）;2组孕妇产时出血量、输血率及新生儿入住NICU率比较

差异均无统计学意义（P

0.05）。研究组新生儿Apgar评分为（7.69±1.38）分

略高于对照组的（7.45±0.96）分

但差异无统计学意义（t=1.615

P=0.108）;研究组孕妇产后并发症发生率为23.44%

略高于对照组的21.88%

但差异无统计学意义（χ

=0.089

P=0.765）。结论严密监测孕妇的产程进展及胎儿情况

并辅以针对性护理

当剖宫产术后瘢痕子宫妊娠孕妇自身条件及各项指标都满足阴道分娩情况时

选取阴道分娩是安全可行的。

Abstract

Objective To explore the success rate and safety of vaginal delivery of scar uterine pregnancy after cesarean section. Methods One hundred and twenty eight pregnant women with scar uterine pregnancy who were admitted to a hospital in Liaoning Province from April 2013 to January 2020 and undergone cesarean section and were suitable for vaginal delivery were selected as the research group. 128 normal pregnant women who underwent cesarean section were selected as control group. The success rate of vaginal delivery

labor time

intrapartum hemorrhage

rate of admission to intensive care unit（NICU）

length of hospitalization

blood transfusion

neonatal score

and postpartum complications of the two groups were compared. Results The success rate of vaginal delivery for pregnant women in the study group was 67.19%

which was lower than 80.47% in the control group. The difference was statistically significant（P

0.05）. The time of the first and second stages of labor in the study group was shorter than that of the control group

the difference was statistically significant（P

0.05）. The time of the third stage of labor of pregnant women in the study group was longer than that in the control group

but the difference was not statistically significant（P

0.05）. The hospitalization time of pregnant women in the study group was longer than that in the control group

and the difference was statistically significant（P

0.05）. There was no statistically significant difference in the amount of bleeding

blood transfusion rate and NICU rate of newborns between the two groups（P

0.05）.The Apgar score of newborns in the study group was（7.69±1.38） points

slightly higher than the（7.45±0.96） points of the control group

but the difference was not statistically significant（t=1.615

P=0.108）.The incidence of postpartum complications in the study group was 23.44%

which was slightly higher than 21.88% in the control group

but the difference was not statistically significant（χ

=0.089

P=0.765）. Conclusion Strictly monitor the labor progress of pregnant women and fetal conditions

supplemented by targeted care

when the pregnant women’s own conditions and various indicators meet the conditions of vaginal delivery

it is safe and feasible to choose vaginal delivery for pregnant women with scarred uterus after cesarean section.

关键词

剖宫产术子宫瘢痕妊娠阴道分娩新生儿产程时间

Keywords

Cesarean sectionUterine scarsPregnancyVaginal deliveryNewbornsDelivery time

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