二次剖宫产术对瘢痕子宫再次妊娠产妇及新生儿的影响

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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.

Key words： Scarred uterus Secondary pregnancy Repeated cesarean section Mother-fetus outcome

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	YIN Jun

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YIN Jun. Effect of repeated cesarean section on secondary pregnant women with scarred uterus and the newborns[J]. 中国当代医药, 2020, 27(2): 114-116.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I2/114

[1]	李灵玲，肖准.瘢痕子宫产妇两种分娩方式的母儿结局研究[J].中国计划生育和妇产科，2018，10（1）：43-46.
[2]	孙芳，王铮.前次剖宫产再次妊娠的分娩方式及母婴结局的临床分析[J].河北医药，2018，40（13）：1953-1956.
[3]	孙丽，张丹，李佳.瘢痕子宫产妇二次剖宫产与非瘢痕子宫剖宫产的临床对照研究[J].海南医学，2018，29（22）：3166-3168.
[4]	叶建红，陈雪红，包丽丽.剖宫产再次妊娠不同分娩方式的临床结局及影响因素[J].中国妇幼健康研究，2018，29（3）：346-348.
[5]	周丽，方娜.剖宫产术后再次妊娠及非瘢痕子宫再次妊娠的围产结局分析[J].中国妇幼健康研究，2018，33（20）：4579-4581.
[6]	管建英，孔双，杨晓艳，等.疤痕子宫足月妊娠孕妇阴道分娩产程监测及分娩结局分析[J].实用预防医学，2018，25（8）：981-983.
[7]	王铮，张惠欣.瘢痕子宫再次妊娠经阴道试产的可行性和安全性分析[J].中国妇幼保健，2017，32（24）：6136-6139.
[8]	马爱青，李明江.疤痕子宫再次妊娠分娩的风险及再次行剖宫产术的相关指标分析[J].中国性科学，2016，25（11）：112-114.
[9]	邹红梅.瘢痕子宫再次妊娠二次剖宫产与非瘢痕子宫剖宫产临床比较[J].中国妇幼保健，2017，32（3）：475-476.
[10]	王新彦，李洪霞，冀涛.不同程度瘢痕子宫对再次妊娠子宫下段厚度及分娩方式选择的影响[J].医学综述，2017，23（4）：814-816.
[11]	叶丽娟.40例瘢痕子宫患者阴道试产的临床特点及妊娠结局分析[J].实用临床医药，2017，21（15）：136-138.
[12]	陈丽华，曾月娥，王璐，等.瘢痕子宫再次妊娠经阴道试产患者472例的产程观察与护理[J].解放军护理，2017，34（19）：46-76.
[13]	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.
[14]	周丽霞，蒲育栋，李李，等.瘢痕子宫再妊娠分娩时间及分娩方式的选择分析[J].中国性科学，2018，27（8）：94-96.
[15]	吴而立.瘢痕子宫再次妊娠的分娩方式选择及经阴道分娩可行性、安全性研究[J].中国妇幼保健，2018，33（16）：3642-3645.