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目的探讨瘢痕子宫再次妊娠分娩方式的选择。方法回顾分析65例患者的临床资料。结果本组65例中,自然临产经阴道正常分娩14例,剖宫产产妇中4例为阴道试产失败后行剖宫产术者。Apgar评分均高于6分。1例产后宫缩乏力出血约700ml,对症状处理后好转,无1例发生子宫破裂、产后感染及休克。孕期为38～41周,新生儿体重2750～3950g。结论瘢痕子宫再妊娠不可随意扩大剖宫产指征,对无明确剖宫产指征者,应给予以充分试产,试产过程严密监护,发现异常,及时剖宫产,以降低母婴并发症及剖宫产率。临床应严格判定阴道试产适应证和禁忌证,试产过程中严密观察产程,使产妇能够顺利经阴道分娩。
Objective To investigate the choice of delivery mode of scar pregnancy after uterine pregnancy. Methods The clinical data of 65 patients were retrospectively analyzed. Results 65 cases of this group, the natural vaginal delivery of natural abortion in 14 cases, 4 cases of cesarean section in the vaginal delivery fails after cesarean section. Apgar scores were higher than 6 points. One case of postpartum uterine inertia bleeding about 700ml, the symptoms improved after treatment, no case of uterine rupture, postpartum infection and shock. Pregnancy is 38 to 41 weeks, neonatal weight 2750 ~ 3950g. Conclusions Scar pregnancy and uterine pregnancy are not free to expand indications for cesarean section, cesarean section indications for those who do not have a clear indication of cesarean section should be given full trial production, trial production process closely monitored and found abnormalities, timely cesarean section to reduce maternal and infant complications Symptoms and cesarean section rate. Clinical trial should be strictly determined vaginal trial indications and contraindications, trial production process close observation of labor, the maternal to vaginal delivery smoothly.