Influence of the vaginal delivery of pregnant women with scarred uterus on their pregnancy outcomes
Objective:To investigate the influence of the vaginal delivery of pregnant women with scarred uterus on their delivery outcomes and their neonates.Methods:The clinical data of 80 pregnant women with scarred uterus ad-mitted to hospital from July 2022 to July 2023 were selected in this study retrospectively.According to the mode of de-livery,these women were divided into group A(44 women with caesarean section)and group B(36 women with vagi-nal delivery).The postpartum hemorrhage incidence and the blood transfusion situation,the neonatal Apgar score and body weight,the postpartum bleeding volume,the duration of the hospital stay,and the incidence of the adverse preg-nancy outcomes of the women were compared between the two groups.Results:The incidences of the intrapartum hemorrhage(11.4％)and blood transfusion(2.3％)of the women in group B were significantly lower than those(34.1％and 18.2％)of the women in group A.The neonatal weight(3.51±0.34 kg)of the women in group B was sig-nificantly higher than that(3.12±0.26 kg)of the women in group A.The postpartum bleeding volume(250.8±11.6 ml)and the hospital stay(4.0±1.1 d)of the women in group B were significantly lower than those(295.5±26.7 ml and 7.6±1.1 d)of the women in group A.The incidence of the adverse pregnancy outcomes(5.6％)of the women in group B was lower than that(22.7％)of the women in group A(all P＜0.05).There was no difference in neonatal Ap-gar score(8.7±1.2 points vs.8.8±1.0 points)of the women between the two groups(P＞0.05).Conclusion:The va-ginal delivery of the women with scarred uterus pregnancy can effectively decrease the risk of their postpartum bleed,improve their intraoperative and postoperative bleeding and the hospital stay,and increase their newborn weight.
Scarred uterusVaginal deliveryDelivery outcomesAmount of blood lossNeonate
万方数据
维普
