Clinical study on vaginal delivery of scarred uterus after cesarean section
Objective To study on feasibility of vaginal delivery of scarred uterus after cesarean section.Methods 88 parturients with scarred uterus after cesarean section who receiving another cesarean section were selected as the observation group,and 34 parturients with scarred uterus after cesarean section who receiving vaginal delivery were selected as the control group.Both groups were compared in tems of conditions for the mode of delivery(previous lower uterine transection,singleton pregnancy,cephalic presentation,cervical length,lower uterine segment thickness),pregnancy outcomes(mean blood loss,neonatal Apgar score,postpartum lactation time,hospitalization time),and occurrence of pregnancy complications(postpartum hemorrhage,postpartum infections,organ strains,uterine atony,urinary retention,and peritoneal adhesions).Results In the observation group,the previous lower uterine transection,singleton pregnancy,cephalic presentation rate were 69.32%,73.86%and 51.14%,respectively,which were lower than 100.00%,91.18%and 85.29%in the control group;the cervical length of(19.41±3.63)mm and the lower uterine segment thickness of(2.76±0.52)mm were lower than(26.82±4.98)and(4.59±0.85)mm in the control group;the difference was statistically significant(P＜0.05).The mean blood loss,neonatal Apgar score,postpartum lactation time and hospitalization time in the observation group were(212.36±39.67)ml,(9.59±1.79)points,(1.17±0.22)d and(3.57±0.67)d,and those in the control group were(205.80±38.18)ml,(9.32±1.73)points,(1.16±0.22)d and(3.52±0.65)d;there was no significant difference(P＞0.05).There was no significant difference in the incidence of pregnancy complications between the observation group(29.55%)and the control group(32.35%)(P＞0.05).Conclusion After cesarean section,parturients with scarred uterus can have both vaginal delivery and cesarean section delivery,but the reasons for restricting cesarean section are various.Timely screening for indications for vaginal trial of labor and cesarean section can avoid serious maternal risks,and the choice of mode of delivery is flexible,taking into account the actual situation of each parturient.
Cesarean sectionScarred uterusRe pregnancyVaginal deliveryMode of delivery
万方数据
维普
