饶琳,吕醒.疤痕子宫经阴道分娩结局的分析与护理[J].上海护理,2017,17(3):
疤痕子宫经阴道分娩结局的分析与护理
DOI:
中文关键词:  瘢痕子宫  阴道分娩
英文关键词:scar uterus  vaginal delivery
基金项目:上海青年护理人才培养资助计划:医卫基[2016]06号
作者单位E-mail
饶琳 中国福利会国际和平妇幼保健院 ireenrao@163.com 
吕醒* 中国福利会国际和平妇幼保健院 395895730@qq.com 
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中文摘要:
      摘要:目的 探讨疤痕子宫经阴道分娩结局,了解疤痕经子宫阴道分娩的风险及并发症。 方法 对我院2011年—2016年的108例疤痕子宫妊娠妇女经阴道分娩的产妇进行回顾性分析。 结果 本研究108例孕妇均为经产妇,平均年龄(33.3±3.69)岁,前次疤痕子宫术后距本次分娩平均间隔时间(5.91±3.15)年,44.44%产妇接受过医疗干预,产后并发症发生率35.19%,主要以早产、急产居多,产后出血率9.26%,会阴切开率39.81%,极低体重与低体重儿占18.52%,新生儿窒息率3.7%。 结论 疤痕子宫的成因仍以剖宫产为主,疤痕子宫再妊娠分娩时,选择阴道试产具有一定的安全可行性。围产期的门诊随访、产程监控以及产后护理与观察是保证疤痕子宫经阴道分娩安全性的重要因素。
英文摘要:
      Abstract :Objective Investigate the outcome of vaginal delivery of scar uterus,understand the risks and complications of uterine scar after vaginal delivery. Methods A retrospective analysis was made on 108 cases of pregnant women with uterine scar pregnancy in our hospital from 2011 to 2016.Results In this study, 108 cases of pregnant women were maternal, the average age (33.3 3.69)years old, the average interval from the previous childbirth uterine scar operation was (5.91 3.15) years, 44.44% of them received medical intervention, postpartum complication rate was 35.19%, mainly in the acute majority, premature birth, postpartum hemorrhage rate was 9.26%, episiotomy rate 39.81%, very low birth weight and low birth weight infants accounted for 18.52%,neonatal asphyxia rate was 3.7%.Conclusion cesarean section is still the main cause of scar uterus,scar uterus during pregnancy,choosing vaginal delivery has certain feasibility and safety.Clinical follow-up, monitoring of labor and postpartum nursing and observation are important factors to ensure the safety of vaginal delivery.
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