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Analysis of the outcome of vaginal delivery of scar |
BAIZhi LONG Da-jian CHIHao YANGMing CHEN Min-hong LIU Zhuan-qin HE Ya-ting JIYan-jie▲ |
Department of Obstetrics,Tangxia Hospital of Dongguan City,Guangdong Province,Dongguan 523721,China |
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Abstract ObjectiveTo analyze of the outcome vaginal delivery in the pregruant patients with scarred uteres.From June 2015 to June 2016,228 cases of vaginal delivery with second pregnancy admitted to our hospitalwere researched,they randomly divided into two groups,114casec in each group.With trail production condition was grouped research group vaginal delivery,without trail production condition was grouped control group by re-cesarean section.The amount of bleeding 24 h after delivery in the research group was lesser than that in the control group (P<0.05),delivery time,hospitalization time in the research group was shorter than that in the control group(P<0.05),incidence of adverse reaction in the research group was lower than that in the control group,the differenceswere statistically significant(P<0.05).The neonatal Apger scores had no stistically significant between two groups(P>0.05).ConclusionScarred uterua is not the absolute incication for repeated cesarean section.those who meet requirement of vaginal delivery and do not have any clear incication for cesarean can have a vaginal birth after cesarean under intensive care.
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[1] |
刘肖英,苏赞妍,华秀兰,等.瘢痕子宫再次妊娠经阴道分娩的可行性分析及探讨[J].中国现代药物应用,2016,10(20):288-289.
|
[2] |
Cunningham GF,leveno KJ,Bloom S,et al.Williams Obstetrics,Prior cesarean section[M].24rd.New York:Mc Graw Hill,2014:609-618.
|
[3] |
杨秀芳,冯亚斌,韩轶超,等.瘢痕子宫阴道试产的可行性分析[J].中国妇幼保健,2017,32(3):477-480.
|
[4] |
张为远.促进自然分娩降低剖宫产率[J].中华妇产科杂志,2014,49(10):725-727.
|
[5] |
吴素勤,王鹰,舒志明,等.瘢痕子宫再次妊娠分娩方式的危险因素分析[J].中国临床药理学杂志,2017,33(7):662-664.
|
[6] |
何镭,陈锰,何国琳,等.剖宫产术后再次妊娠阴道分娩孕妇的妊娠结局分析[J].中华妇产科杂志,2016,51(8):586-591.
|
[7] |
侯磊,李光辉,邹丽颖.全国剖宫产率及剖宫产指征构成比调查的多中心研究[J].中华妇产科杂志,2014,49(10):728-735.
|
[8] |
胡春霞,李跃萍,吴小妹,等.150例阴道试产中转剖宫产影响因素和指征分析[J].中国妇幼保健,2013,21(11):1718-1720.
|
[9] |
罗运平,涂运珍,赵丽.疤痕子宫再次妊娠经阴道分娩176例临床分析[J].现代医院,2015,15(7):76.
|
[10] |
陈海菊,林珏莹,郑燕乐.疤痕子宫再次妊娠经阴道分娩的可行性研究[J].齐齐哈尔医学院学报,2016,37(11):1416-1417.
|
[11] |
张越.疤痕子宫再次妊娠阴道分娩的可行性临床探究[J].中外医疗,2015,35(7):38-39.
|
[12] |
蒋美琴,陈霞,凌静.疤痕子宫再次妊娠阴道分娩的临床结局及可行性分析[J].川北医学院学报,2016,31(5):700-703.
|
[13] |
屈在卿,马润玫.剖宫产后瘢痕子宫妊娠早产经阴道分娩的临床对比分析[J].实用妇产科杂志,2016,32(7):546-548.
|
[14] |
杜明钰,李航,马润玫.前次剖宫产史瘢痕子宫阴道分娩的评估及管理[J].实用妇产科杂志,2016,32(3):167-170.
|
[15] |
杨琼玉.瘢痕子宫阴道分娩的临床研究[J].河北医学,2016,22(4):627-629.
|
[16] |
屈在卿,周训琼,马润玫.剖宫产后再次妊娠阴道试产子宫完全破裂6例临床分析[J].实用妇产科杂志,2016,32(5):369-371.
|
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