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| Clinical analysis of the delivery modes and pregnancy outcomes of pregnant women with cicatricial uterus |
| ZHOU Jian |
| Department of Obstetrics and Gynecology,Maternal and Child Health Care Hospital of Fuzhou,Jiangxi Province,Fuzhou 344000,China |
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Abstract ObjectiveTo study the delivery modes and pregnancy outcomes of pregnant women with cicatricial uterus.Methods80 cases of pregnant women with cicatricial uterus treated in our hospital from March 2013 to March 2016 were selected as the research group.Simultaneously,80 cases without cicatricial uterus who had undergone cesarean section were selected as the control group.A comparative analysis was carried out between the two groups in delivery modes and pregnancy outcomes.ResultsOf the 80 patients with cicatricial uterus,71 cases underwent cesarean section, accounting for 88.75%,9 cases underwent vaginal delivery,accounted for 11.25%;of the 71 cases undergoing cesarean section,26 cases did not meet with the indications of vaginal delivery,accounted for 32.50%,45 cases received cesarean section out of the will of patients or their family members,accounting for 56.24%;of the 9 cases of vaginal delivery, 7 cases were successful,2 cases were transferred to cesarean section.The amount of bleeding in the research group was significantly more than that in the control group (P＜0.01),and their delivery time and hospitalization periods were significantly shorter than those of the control group (P＜0.01).There was no significant difference in Apgar scores between the two groups(P＞0.05).Patients in the research group had an obviously higher percentage of occurrence in postpartum hemorrhage(8.75%),poor wound healing(11.25%),neonatal asphyxia(8.75%)and the puerperal disease(12.50%)than the patients in the control group(1.25%,2.50%,1.25%,3.75%),and the differences were statistically significant(P＜0.05).ConclusionVaginal delivery can be an option for pregnant women with cicatricial uterus.The pregnancy outcomes of reconsidered cesarean section cannot be satisfactory.Natural delivery can be considered for pregnant women with indications of vaginal delivery.
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