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- Title
瘢痕子宫再次妊娠 434 例分娩方式.
- Authors
马 翠; 马润玫; 晋家萍; 朱廷芬
- Abstract
Objective To explore how to determine the mode of delivery after repregnancy of scar. Methods 434 cases of repregnancy with scarred uterus were treated in the First People's Hospital of Zhaotong City from June 2011 to June 2015. The data of the childbirth way, the outcome of mother and infants were retrospectively analyzed. In this study, a total of 132 cases of non-cicatricial vaginal delivery (VBNC) were performed in the same period, and a total of 132 cases of recurrent vaginal delivery (VBAC) and 302 cases of repeated cesarean section (RCS) were analyzed. In the same period, 302 cases of random caesarean section (PCS) and 302 cases of repeated cesarean section (RCS) were analyzed. Results Among 132 cases of vaginal trial, 100 were successful, and the success rate was 75.76%. RCS 334 cases, the operation rate was 76.96%. There was no significant statistically difference in the incidence rate of postpartum hemorrhage, uterine aura rupture, neonatal Apgar score after Vaginal delivery between repregnancy of scarred uterus group and non-scarred uterus group ( P > 0.05). In the VBAC group, the amount of hemorrhage, hospitalization time, hospitalization expense and postpartum bleeding rate were lower than that in the RCSgroup [(170.5±20.8) mL vs. (205.7±5.0) mL,(3.5±0.5) d vs. (6.5±0.5) d, (2321.0±125.0) RMB vs (4943.0±196.3) RMB,10.0%vs (18.7%respectively P < 0.05]. The postpartum bleeding rate (18.7%) of RCS group was higher than that of PCS (3.3%), and the difference was statistically significant ( P < 0.05) Conclusions After the pregnancy of the scar uterus, the vaginal delivery can be performed selectively. The condition is full evaluating before delivery, close monitoring after labor, and preparing for emergency cesarean section.
- Publication
Journal of Kunming Medical University / Kunming Yike Daxue Xuebao, 2019, Vol 40, Issue 6, p103
- ISSN
2095-610X
- Publication type
Academic Journal