瘢痕子宫妊娠经阴道分娩113例临床分析

目的分析瘢痕子宫妊娠经阴道分娩的安全性评估、产程处理要点及并发症的预防,提高阴道分娩成功率,降低剖宫产率。方法对深圳市龙华新区观澜人民医院产科2011年1月至2013年9月收治的121例瘢痕子宫妊娠选择阴道试产的产妇进行回顾性分析。结果 8例产程中行剖宫产结束分娩,113例经阴道分娩,成功率93.39%。结论瘢痕子宫再次妊娠通过充分的条件评估、严密的产程观察,规范使用催产素及无痛分娩,经阴道分娩是安全可行的。

Clinical analysis of vaginal delivery for scarred uterus pregnancy in 113 cases

Objective To analyze the safety assessment, key point of management in stage of labor, and the prevention of complications in scarred uterus pregnancy with vaginal delivery. To improve the success rate of vaginal delivery and reduce the cesarean rate. Methods Clinical data of 121 cases of scarred uterus pregnancy with vaginal delivery in Shenzhen City Longhua District Guanlan People ＇s Hospital from January 2011 to September 2013 were retrospectively analyzed. Results 8 cases processed with cesarean section during stage of labor, while 113 cases successfully processed with vaginal delivery with success rate of 93.39%. Conclusion With sufficient assessment and close observation, the vaginal delivery as well as usage of oxytocin and painless labor are safe and feasible in scarred uterus pregnancy.