Abstract：Objective To investigate the influencing factors of vaginal delivery trial-production failure in re-pregnancy with scarred uterus.Methods The clinical data of 88 cases of pregnant women who had a second vaginal delivery trialproduction in the scarred uterus from January 2015 to December 2019 treated in Dalian Maternal and Child Health Hospital were retrospectively analyzed,and they were grouped according to the results of vaginal delivery trial.The clinical data of 28 pregnant women who failed to have a trial of vaginal delivery after pregnancy in a scarred uterus were included in the observation group,and the clinical data of 60 pregnant women who successfully tried trial delivery of vaginal delivery were included in the control group.All the maternal baseline data,through single factor and multifactor were collected,the influencing factors which might cause the trial failure pf re-pregnancy vaginal delivery in scarred uterus were analyzed.Results There were no statistical differences in the gestational age and use of oxytocin between the two groups (P＞0.05).The proportions of age ≥35 years old,2-3 years from the last cesarean section,thickness of lower uterine segment ＜2 cm,and fetal weight ≥3.5 kg in the observation group were higher than those in the control group,the differences were statistically significant (P＜0.05).Logistic multivariate analysis showed that age ≥35 years old,2-3 years from the last cesarean section,thickness of lower uterine segment ＜2 cm,and fetal weight ≥3.5 kg were the risk factors for vaginal delivery trial-production failure in re-pregnancy with scarred uterus (OR＞1,P＜0.05).Conclusion Advanced age,shorter time since the last cesarean section,lower thickness of lower uterine segment,and higher fetal weight are the risk factors for vaginal delivery trial-production failure in re-pregnancy with scarred uterus,and the above risk factors should be paid attention,at the same time,effective measures should be taken to improve the success rate of vaginal delivery.
彭洁;柳洁. 瘢痕子宫再次妊娠阴道分娩试产失败的影响因素分析[J]. 中国当代医药, 2021, 28(6): 97-99.
PENG Jie; LIU Jie. Analysis of the influencing factors of vaginal delivery trial-production failure in re-pregnancy with scarred uterus. 中国当代医药, 2021, 28(6): 97-99.
You SH，Chang YL，Yen CF.Rupture of the scarred and unscarred gravid uterus：outcomes and risk factors analysis[J].Taiwan J Obstet Gynecol，2018，57（2）：248-254.
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