Analysis of the complications of two times cesarean section in scar uterus and non scar uterus
10.3760/cma.j.issn.1008-6706.2014.13.033
- VernacularTitle:瘢痕子宫与非瘢痕子宫二次剖宫产并发症分析
- Author:
Libing LUO
;
Ting WU
- Publication Type:Journal Article
- Keywords:
Cicatrix;
Uterus;
Cesarean section,repeat;
Postoperative complications;
Controlled clinical trial
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;21(13):1997-1998
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the complications of pregnant secondary cesarean in scar uterus,to provide theoretical guidance for cesarean section.Methods 160 pregnant women of secondary cesarean uterine scar were chosen as the study group.80 pregnant women of non-scar uterine were chosen as the control group.Results The bleeding volume during operation,operation time,operation fee,postoperative bleeding,uterine resection rate,neonatal asphyxia in study group were (432 ± 331) mL,(64 ± 21) min,(0.91 ± 0.11) million,(262 ± 187) mL,4.4％,11.9％,which in the control group were (361 ± 209) mL,(44 ± 16) min,(0.63 ± 0) million,(184 ± 132) mL,1.3％,6.3％ respectively,the differences were significant (t =2.52,8.19,26.10,4,4.76,x2 =3.98,all P ＜ 0.05).The two groups had no statistically significant difference in organ damage situation (P ＞ 0.05).Conclusion Secondary cesarean uterine scar easily lead to maternal blood loss and increased postoperative bleeding,prolonged surgery,increased hysterectomy rate,increased incidence of neonatal asphyxia and other complications.Pregnant uterine scar pregnancy is a high-risk pregnancy,pregnancy for maternal uterine scar secondary surgical indications should be strictly controlled.
