高龄瘢痕子宫足月妊娠再次分娩方式对产妇及新生儿结局的影响分析

Abstract
Figure/Table
References (18)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the influence of re-delivery modes of scar uterus in full-term pregnancy on maternal and neonatal outcome in elderly puerperae.Methods From July 2015 to March 2017,122 elderly puerperae with scar uterus in full-term pregnancy who underwent a secondary delivery were randomly enrolled as study subjects.According to the maternal status,they were divided into control group(n=86)and experimental group(n=36).In the experimental group,maternal vaginal delivery was recommended,while in the control group,maternal cesarean section was performed.The amount of blooding 24 hour after delivery,puerperal infection rate,postpartum fever,labor time,hospital stay,hospitalization costs,and neonatal weight and neonatal Apgar score were observed.Results The amount of blooding within 24 hours after delivery in the experimental group was less than that in the controi group,postpartum fever was lower than that in the controi group,labor duration,hospital stay was shorter than that in the controi group,and hospitalization costs was lower than that in the controi group,the differences were statistically significant(P<0.05).The puerperal infection rate,neonatal weight,and Apgar score were not displayed significant differences between the two groups(P＞0.05).ConclusionWhen the antenatal indexes of scar uterine in full-term term pregnancy in elderly puerperae qualifying the conditions of vaginal delivery,the vaginal delivery mode should be preferred with available medical conditions.

Key words： Elderly puerperae Scar uterus Re-delivery Delivery mode

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIN Fang

Cite this article:

LIN Fang. Impact analysis of re-delivery modes of scar uterus in full-term pregnancy on maternal and neonatal outcome in elderly puerperae[J]. 中国当代医药, 2018, 25(26): 82-84.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I26/82

[1]	胡如艳，陈嘉，王艳菊，等.不同分娩方式对瘢痕子宫再次妊娠产妇及新生儿影响的Meta分析[J].现代预防医学，2017，44（6）：1023-1027.
[2]	周秀芬，徐运川，任俊.166例瘢痕子宫再次分娩的指证和不同分娩方式的选择探讨[J].中国妇产科临床杂志，2017，18（1）：67-68.
[3]	陈丽英，瘳月容，李少芳.瘢痕子宫产妇再次妊娠的分娩方式及新生儿状况分析[J].海南医学，2015，26（17）：2606-2608.
[4]	余淑芳.187例高龄产妇妊娠结局的临床分析[J].中华全科医学，2015，13（3）：426-427.
[5]	张桂英，赵双英，陈月花，等.瘢痕子宫再次妊娠产妇不同分娩方式对母婴的影响研究[J].检验医学与临床，2015，12（4）：537-538.
[6]	缪文莉，王丽.剖宫产后瘢痕子宫再次妊娠分娩方式的临床分析[J].当代医学，2017，23（12）：59-60.
[7]	费奎琳，张卫社.高龄女性瘢痕子宫再妊娠[J].中国实用妇科与产科杂志，2017，33（1）：93-96.
[8]	芦笛，白伶俐，李红梅.不同分娩方式对剖宫产术后再次妊娠产妇分娩结局以及新生儿结局的影响[J].医学综述，2016，22（8）：1640-1642.
[9]	Walker KF，Bradshaw L，Bugg GJ，et al.Causes of antepartum stillbirth in women of advanced maternal age[J].Eur J Obst Gynecol Reprod Biol，2016，9（197）：86-90.
[10]	曾笑梅，陈惠华，罗瑶.瘢痕子宫再次妊娠选择不同分娩方式的临床对比[J].中国当代医药，2016，23（21）：75-77.
[11]	王丽静.瘢痕子宫再次妊娠的风险研究及其对妊娠结局的影响[J].北京医学，2016，38（1）：92-94.
[12]	黄芳.卡前列素氨丁三醇用于预防瘢痕子宫剖宫产术后出血的临床研究[J].中国计划生育学杂志，2015，23（12）：811-814.
[13]	荣长仙，周晓，王健，等.200例超声在瘢痕子宫再次妊娠分娩方式选择的意义[J].重庆医学，2015，44（19）：2644-2645.
[14]	贾莉，周娟，魏霞霞，等.疤痕子宫妊娠妇女经产道分娩的可行性、安全性和相关危险因素分析[J].现代生物医学进展，2015，15（33）：6516-6518.
[15]	邓华东，邹凯华，许敬华，等.超声检测孕晚期子宫前壁下段厚度在预测瘢痕子宫术中破裂风险中的应用价值[J].中国全科医学，2017，20（15）：1894-1897.
[16]	胡如艳，陈嘉，王艳菊，等不同分娩方式对瘢痕子宫再次妊娠产妇及新生儿影响的Meta分析[J].现代预防医学，2017，44（6）：1023-1027.
[17]	连海丽.瘢痕子宫再次妊娠分娩方式的选择对妊娠结局的影响分析[J].中国实用医药，2016，11（27）：283-284.
[18]	杨蕾.瘢痕子宫再次妊娠分娩方式的选择及对母婴的影响分析[J].医学理论与实践，2017，30（12）：1810-1811.