Abstract:Objective To analysis of re-cesarean section and pregnancy outcome in non-scarred uterus and scar uterus. Methods A total of 114 pregnant women with scarred uterine pregnancy who were admitted to our hospital from April 2016 to March 2018 were selected as the observation group, and 126 non-scarred cesarean women who were pregnant during the same period were selected as the control group. The neonatal outcomes, intraoperative and postnatal conditions, and complications were compared between the two groups. Results The neonatal weight and Apgar score in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). The amount of intraoperative and postpartum hemorrhage in the observation group was more than that in the control group, the operation time and hospital stay were longer than those in the control group, the incidence of postpartum fever was higher than that in the control group, and the rate of incision healing was lower than that in the control group, the differences were statistically significant. (P<0.05). The incidence of postpartum hemorrhage, uterine rupture,hysterectomy, pelvic adhesions, placenta previa and placenta implantation in the observation group was higher than that in the control group, the differences were statistically significant (P<0.05). Conclusion The outcome of neonatal scar cesarean section and the situation during and after the operation are worse, and the incidence of complications is higher. Clinicians should strengthen the propaganda and education of pregnant women and encourage them to choose vaginal delivery.
Zheng J,Liu S,Xing J,et al.Prognosis and related risk factors of patients with scarred uterus complicated with central placenta previa[J].Ginekol Pol,2019,90(4):185-188.
Pont S,Austin K,Ibiebele I,et al.Response to postpartum hemorrhage and blood transfusion among parturients with scarred uterus-the evidence is there[J].Acta Obstet Gynecol Scand,2019,98(4):536-537.
Levin G,Rottenstreich A.Postpartum hemorrhage and blood transfusion among parturients with scarred uterus-The evidence is there[J].Acta Obstet Gynecol Scand,2019,98(4):535.
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Lu Q,Dong CS,Yu JM,et al.The dose response of sufentanil as an adjuvant to ropivacaine in cesarean section for relief from somato-visceral pain under epidural anesthesia in parturients with scarred uterus[J].Medicine (Baltimore),2018,97(38):e12404.