非瘢痕子宫与瘢痕子宫再次剖宫产情况及妊娠结局分析

Abstract
Figure/Table
References (17)
Related Citation (15)

Download: PDF (0 KB) HTML (31 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analysis of re-cesarean section and pregnancy outcome in non-scarred uterus and scar uterus. Methods A total of 114 pregnant women with scarred uterine pregnancy who were admitted to our hospital from April 2016 to March 2018 were selected as the observation group, and 126 non-scarred cesarean women who were pregnant during the same period were selected as the control group. The neonatal outcomes, intraoperative and postnatal conditions, and complications were compared between the two groups. Results The neonatal weight and Apgar score in the observation group were lower than those in the control group, the differences were statistically significant (P＜0.05). The amount of intraoperative and postpartum hemorrhage in the observation group was more than that in the control group, the operation time and hospital stay were longer than those in the control group, the incidence of postpartum fever was higher than that in the control group, and the rate of incision healing was lower than that in the control group, the differences were statistically significant. (P＜0.05). The incidence of postpartum hemorrhage, uterine rupture,hysterectomy, pelvic adhesions, placenta previa and placenta implantation in the observation group was higher than that in the control group, the differences were statistically significant (P＜0.05). Conclusion The outcome of neonatal scar cesarean section and the situation during and after the operation are worse, and the incidence of complications is higher. Clinicians should strengthen the propaganda and education of pregnant women and encourage them to choose vaginal delivery.

Key words： Scar uterus Non-scar uterus Re-caesarean Pregnancy outcome Postoperative complications

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Lu-lan

Cite this article:

ZHANG Lu-lan. Analysis of re-cesarean section and pregnancy outcome in non-scarred uterus and scar uterus[J]. 中国当代医药, 2020, 27(6): 116-118.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I6/116

[1]	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.
[2]	Zheng J，Liu S，Xing J，et al.Prognosis and related risk factors of patients with scarred uterus complicated with central placenta previa[J].Ginekol Pol，2019，90（4）：185-188.
[3]	王安，徐优文，吴晓荣，等.剖宫产术后瘢痕子宫再次妊娠阴道分娩的可行性研究[J].西部医学，2017，29（5）：666-669.
[4]	Pont S，Austin K，Ibiebele I，et al.Response to postpartum hemorrhage and blood transfusion among parturients with scarred uterus-the evidence is there[J].Acta Obstet Gynecol Scand，2019，98（4）：536-537.
[5]	中华医学会计划生育学分会.剖宫产瘢痕妊娠诊断与治疗共识[J].中华医学杂志，2012，92（25）：1731-1733.
[6]	刘敏，曾德玲，杨婧，等.剖宫产后瘢痕子宫再次妊娠对孕妇产后出血及新生儿的影响[J].实用临床医药杂志，2017，21（11）：215-217.
[7]	黄早秀.剖宫产术瘢痕子宫再次妊娠阴道分娩的安全性及可行性[J].当代医学，2017，23（29）：144-145.
[8]	Levin G，Rottenstreich A.Postpartum hemorrhage and blood transfusion among parturients with scarred uterus-The evidence is there[J].Acta Obstet Gynecol Scand，2019，98（4）：535.
[9]	Lu Q，Dong CS，Yu JM，et al.The dose response of sufentanil as an adjuvant to ropivacaine in cesarean section for relief from somato-visceral pain under epidural anesthesia in parturients with scarred uterus[J].Medicine （Baltimore），2018，97（38）：e12404.
[10]	王小亚，秦利.瘢痕子宫二次妊娠剖宫产术后并发症发生情况研究[J].中国性科学，2017，26（11）：127-129.
[11]	张静涛，张蕊，贾蕊莉，等.剖宫产术后瘢痕子宫再次足月妊娠阴道分娩240 例临床分析[J].陕西医学杂志，2016，45（5）：583-584.
[12]	黄静，杨丽.瘢痕子宫再次剖宫产的并发症分析及对母婴影响的临床研究[J].检验医学与临床，2016，13（23）：3334-3335，3338.
[13]	贾书方，李静，杨春华，等.瘢痕子宫产妇二次剖宫产并发症发生情况及与非瘢痕子宫剖宫产的对照研究[J].中国妇幼保健，2016，31（1）：65-66.
[14]	王梁萍，李丽洁，王慧，等.瘢痕子宫再次剖宫产并发症的发生情况分析[J].中国妇幼保健，2017，32（22）：5544-5546.
[15]	桑秀丽.瘢痕子宫孕妇二次剖宫产并发症发生情况及其与非瘢痕子宫剖宫产的对照研究[J].中国妇幼保健，2016，31（2）：260-261.
[16]	张英延，李丽，王俊华，等.瘢痕子宫再次剖宫产与非瘢痕子宫剖宫产的妊娠结局分析[J].中国计划生育和妇产科，2017，9（5）：58-60.
[17]	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.