瘢痕子宫再妊娠的分娩方式探讨
【摘要】 目的 探讨瘢痕子宫再妊娠的分娩方式的选择。方法 回顾分析120例患者的临床资料。结果 120例瘢痕子宫妊娠分娩,阴道试产41例,试产成功30例；再次剖宫产79例(其中择期剖宫产70例,阴道试产改行急诊剖宫产9例)。41例阴道试产者成功30例,自然分娩24例,阴道助产6例;试产失败11例,其中先兆子宫破裂3例,胎儿窘迫3例,继发性宫缩乏力3例,持续性枕后位2例,均改行急诊剖宫产分娩,无子宫破裂发生。结论 生产方式的选择应根据产妇的具体情况而定。【关键词】 瘢痕子宫；再妊娠；分娩方式
The delivery mode of secondary pregnancy of women with cicatricial uterus
SHANG Qiang.Department of Gynecology and Obsterics,Maternal and Child care service centre of Xinxiang City, Henan 453003,China
【Abstract】 Objective To evaluate the delivery mode of secondary pregnancy of women with cicatricial uterus. Methods The clinical date of 120 cases were reviewed retrospectively. Results 120 cases of uterine scar pregnancy, vaginal trial production in 41 cases, 32 cases of successful trial production; again cesarean section in 79 cases (including 70 cases of elective cesarean section, vaginal pilot diverted to emergency cesarean section 9). 41 cases were successful vaginal trial production of 32 cases, 25 cases of vaginal delivery, vaginal delivery in 7 cases; pilot failed in 11 cases, of which 3 cases of threatened uterine rupture, fetal distress in 3 cases, 3 cases of secondary uterine inertia, sustained posterior position, 2 cases were diverted to emergency cesarean delivery, no uterine rupture occurred. Conclusion The production of maternal choice should be based on the specific circumstances. ......
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