Clinical study on the second cesarean section of scarred uterus and the first cesarean section of non scarred uterus in parturients
Objective To study the clinical situation of pregnant women undergoing a second cesarean section in a scarred uterus and a first cesarean section in a non scarred uterus.Methods 50 non scarred uterine parturients without a history of cesarean section were selected as the control group,and 50 scarred uterine parturients with a history of cesarean section were selected as the experimental group.Cesarean section surgery was performed,and the surgical situation,adverse pregnancy outcomes,incidence of complications,and newborn birth status of the two groups were compared.Results The experimental group had longer surgical time and longer postoperative lochia than the control group,with more intraoperative and postoperative bleeding than the control group,and the difference was statistically significant(P<0.05);The incidence of adverse pregnancy outcomes,neonatal asphyxia,and postoperative complications in the experimental group were higher than those in the control group,and the Apgar score of newborns was lower than that in the control group(P<0.05).Conclusion Compared to first-time cesarean section women with non scarred uterus,second cesarean section women with scarred uterus have longer operation time,greater surgical difficulty,more bleeding,and a higher incidence of adverse postoperative complications.