Abstract:Objective To investigate the effect of repeated cesarean section on secondary pregnant women with scarred uterus and the newborns.Methods The clinical data of 130 pregnant women with cesarean section admitted to our hospital from January 2017 to June 2018 were retrospectively analyzed.A total of 65 cases of non-scarred uterus with cesarean section were selected as control group,and 65 cases of scarred uterus with repeated cesarean section were taken as observation group.The operation time,duration of lochia and hospital stays were compared between the two groups.The maternal bleeding volume,postoperative complications and neonatal outcome in the two groups were observed.Results The operation time,duration of lochia and hospital stays in the observation group were longer than those in the control group,the intraoperative and postoperative bleeding volume in the observation group were more than those in the control group,and the differences were statistically significant (P<0.05).The total incidence of hysterectomy,placenta accreta and postpartum hemorrhage in observation group was higher than that in the control group,and the difference was statistically significant (P<0.05).The rate of neonatal asphyxia in the observation group was higher than that in the control group,while the Apgar scores of newborns in the observation group were lower than those in the control group,and the differences were statistically significant (P<0.05).There was no statistical difference in the neonatal weight between the two groups (P>0.05).Conclusion The scar uterus with repeated cesarean section has higher risk and more postoperative complications,and it has a greater impact on mother and fetus.Clinically,it is necessary to strictly control cesarean section indexes,so as to reduce the incidence of scar uterus with repeated cesarean section.
尹君. 二次剖宫产术对瘢痕子宫再次妊娠产妇及新生儿的影响[J]. 中国当代医药, 2020, 27(2): 114-116.
YIN Jun. Effect of repeated cesarean section on secondary pregnant women with scarred uterus and the newborns. 中国当代医药, 2020, 27(2): 114-116.