【摘要】：目的分析在新產(chǎn)程標(biāo)準(zhǔn)下,剖宮產(chǎn)術(shù)后再次妊娠陰道試產(chǎn)的孕婦分娩的結(jié)局,從而評(píng)估新產(chǎn)程對(duì)瘢痕子宮再次陰道分娩產(chǎn)程的影響。方法收集陰道分娩的有剖宮產(chǎn)史的孕婦共519例,均為頭位、單胎、足月妊娠。其中第二產(chǎn)程2 h的483例(舊產(chǎn)程組),≥2 h的36例(新產(chǎn)程組),比較兩組的助產(chǎn)率、會(huì)陰側(cè)切率、分娩鎮(zhèn)痛率、圍產(chǎn)兒并發(fā)癥(包括新生兒窒息、肩難產(chǎn)/鎖骨骨折)發(fā)生率和產(chǎn)科并發(fā)癥(包括宮頸裂傷、會(huì)陰Ⅱ度裂傷、產(chǎn)后出血、子宮破裂)發(fā)生率等。結(jié)果新產(chǎn)程組的會(huì)陰切開手術(shù)率及助產(chǎn)率明顯高于舊產(chǎn)程組;新產(chǎn)程組中的分娩鎮(zhèn)痛應(yīng)用率明顯高于舊產(chǎn)程組;在分娩并發(fā)癥方面,宮頸裂傷率、會(huì)陰Ⅱ度裂傷率、子宮破裂率、產(chǎn)后出血率兩組均無明顯差異;在新生兒并發(fā)癥方面,新生兒窒息率和肩難產(chǎn)、鎖骨骨折率兩組均無明顯差異。結(jié)論新產(chǎn)程標(biāo)準(zhǔn)對(duì)于剖宮產(chǎn)術(shù)后再次妊娠陰道試產(chǎn)孕婦基本是安全的,但仍需嚴(yán)密監(jiān)護(hù),綜合評(píng)估,必要時(shí)給予適當(dāng)?shù)母深A(yù)措施。
[Abstract]:Objective to analyze the outcome of vaginal trial delivery after cesarean section in order to evaluate the effect of the new labor process on the process of cicatricial uterus redelivery. Methods 519 cases of vaginal delivery with history of cesarean section were collected. 483 cases of the second stage of labor (old labor group) and 36 cases of 鈮，

本文編號(hào)：2191147