Clinical research on the model of uterine scar pregnancy based on 615 cases
- VernacularTitle:615例瘢痕子宫再次妊娠分娩方式的临床研究
- Author:
Bingfei LI
1
;
Yanli ZHANG
;
Jingru JI
Author Information
1. 山西医科大学
- Keywords:
Uterine scar;
Pregnant again;
Delivery mode
- From:
China Modern Doctor
2014;(35):25-27,31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the option and feasibility of the uterine scar pregnancy again and reduce the rate of cesarean delivery. Methods A total of 615 cases of puerperal clinical patients in the hospital from January 2011 to De-cember 2013 were analyzed. According to the pregnancy type, cesarean section again included 536 cases and vaginal delivery included 79 cases. And 3470 cases of vaginal delivery were selected by compared 117 cases uterine scar vagi-nal delivery, plus 2274 cases of cesarean delivery for the first time were selected by compared 536 cases of cesarean section again. Results Cesarean section again group and vaginal delivery group in the Apgar score, weight, the differ-ence was not statistically significant(P>0.05); The postpartum hemorrhage rate in uterine scar vaginal delivery group were significantly smaller than the cesarean sections again group (P<0.05);Success ratio and natural delivery in uterine scar vaginal delivery group were smaller than the vaginal delivery group (P<0.05); The episiotomy, the use of for-ceps and the postpartum hemorrhage were no significantly between uterine scar vaginal delivery group and vaginal de-livery group (P>0.05); Incision infection, interventional surgery and amniotic fluid embolism were no significantly be-tween cesarean sections again group and cesarean delivery for the first time group (P>0.05); The uterus resection rate and the postpartum hemorrhage of cesarean sections again group were significantly higher than the cesarean deliv-ery for the first time group (P<0.05). Conclusion It has to master the indications of uterine scar pregnancy again vagi-nal delivery, and keep to closely watch over the situation that meets the conditions for the trial production, in addition, the first cesarean section should be strictly controlled.
