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目的分析瘢痕子宫足月妊娠孕妇采用阴道分娩的临床效果。方法选取2014年1月至2015年8月剖宫产术后瘢痕子宫足月妊娠的孕妇48例,根据分娩方式分为两组,每组24例。瘢痕子宫孕妇采用阴道分娩者作为观察组,瘢痕子宫孕妇采用再次剖宫产分娩者作为对照组,比较两组孕妇的临床疗效及术后并发症发生率。结果对照组分娩出血量、住院时间均高于观察组,分娩时间长于观察组,差异有统计学意义(P<0.05),两组新生儿评分比较差异未见统计学意义(P>0.05);观察组并发症发生率为8.33%,显著低于对照组的37.50%,差异有统计学意义(P<0.05)。结论根据孕妇自身的客观情况,根据阴道分娩和剖宫产的优势和术后将会出现的并发症,对符合阴道分娩的孕妇,鼓励其进行阴道分娩,降低术后并发症发生率,缩短住院时间,有助于孕妇产后的恢复。
Objective To analyze the clinical effect of vaginal delivery in full-term pregnant women with scar-shaped uterus. Methods Forty-eight pregnant women with scar-shaped uterus full-term pregnancy after cesarean section from January 2014 to August 2015 were divided into two groups (24 in each group) according to mode of delivery. Pregnant women with scar uterus using vaginal delivery as observation group, uterine scar pregnancy cesarean section delivery again as a control group, comparing the clinical efficacy of two groups of pregnant women and postoperative complications. Results The blood loss and hospital stay of the control group were significantly higher than those of the observation group, and the time of labor was longer than that of the observation group (P <0.05). There was no significant difference in neonatal score between the two groups (P> 0.05). The complication rate in the observation group was 8.33%, which was significantly lower than that in the control group (37.50%), the difference was statistically significant (P <0.05). Conclusion According to their own objective circumstances, according to the advantages of vaginal delivery and cesarean section and postoperative complications that will occur in pregnant women who conform to vaginal delivery, to encourage vaginal delivery, reduce the incidence of postoperative complications and shorten the hospital stay Time, help pregnant women postpartum recovery.