Effect of different delivery methods on the pregnancy outcome of premature pregnant women with ecarred uterus re-pregnancy after prior cesarean section
10.3760/cma.j.cn341190-20230912-00181
- VernacularTitle:不同分娩方式对剖宫产后瘢痕子宫再次妊娠早产产妇妊娠结局的影响
- Author:
Qiang MA
1
;
Jianfen TANG
Author Information
1. 嘉兴市妇幼保健院产科，嘉兴 314000
- Keywords:
Cesarean section;
Cicatrix;
Uterus;
Gravidity;
Vaginal birth after cesarean;
Premature birth;
Uterine rupture;
Postpartum hemorrhage;
Pregnancy outcome
- From:
Chinese Journal of Primary Medicine and Pharmacy
2024;31(5):711-714
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effects and impacts of different delivery methods on pregnancy outcomes in preterm women with scarred uterus re-pregnancy after prior cesarean section.Methods:The clinical data of 431 pregnant women with scar uterus re-pregnancy and premature delivery admitted to Jiaxing Maternal and Child Health Hospital from January 2017 to December 2021 were retrospectively analyzed. According to the mode of delivery, 107 patients who were delivered through vagina were included in the study group and 324 patients undergoing cesarean section were selected as the control group. Amount of postpartum bleeding, incidence of uterine rupture, and hospital stay were compared between two groups. Incidence of neonatal asphyxia and 1-, 5-, and 10-minute Apgar scores were also compared between the two groups.Results:Compared with the control group, postpartum bleeding volume and hospital stay were significantly lower in the study group [(232.31 ± 73.82) mL vs. (354.27 ± 89.49) mL, (4.32 ± 0.61) days vs. (6.23 ± 0.94) days; t = 12.74, 19.69, P < 0.05). There was no significant difference in the incidence of uterine rupture ( P > 0.05), incidence of neonatal asphyxia ( P > 0.05), and 1-, 5-, and 10-minute Apgar scores ( P > 0.05) between the two groups. Conclusion:For premature delivery women with scarred uterus after prior cesarean section, both cesarean section and vaginal delivery can be chosen for successful delivery. However, vaginal delivery has less postpartum bleeding and shorter hospital stay, which is a feasible and safe delivery method. Vaginal delivery is encouraged for re-pregnancy after cesarean section.
