吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
31期
7063-7065
,共3页
疤痕子宫%再妊娠%阴道分娩%产程监测
疤痕子宮%再妊娠%陰道分娩%產程鑑測
파흔자궁%재임신%음도분면%산정감측
Scar uterus%Further pregnancy%Vaginal delivery%Birth process monitoring
目的：总结疤痕子宫再妊娠经阴道分娩的产程监测及产程处理经验，降低不良分娩结局的发生率。方法：回顾性分析28例疤痕子宫再妊娠经阴道分娩的病例资料。结果：28例疤痕子宫再次妊娠经阴道分娩的病例中，顺产27例，钳产1例，产后出血2例，产后2 h 出血量>400 ml 者7例，新生儿体重1750~3650 g，无新生儿窒息，无子宫破裂，分娩结局良好。结论：对疤痕子宫再妊娠者，应正确评估阴道试产的条件，分娩期加强产程监测，及时发现子宫破裂的迹象，积极预防及处理产后出血。
目的：總結疤痕子宮再妊娠經陰道分娩的產程鑑測及產程處理經驗，降低不良分娩結跼的髮生率。方法：迴顧性分析28例疤痕子宮再妊娠經陰道分娩的病例資料。結果：28例疤痕子宮再次妊娠經陰道分娩的病例中，順產27例，鉗產1例，產後齣血2例，產後2 h 齣血量>400 ml 者7例，新生兒體重1750~3650 g，無新生兒窒息，無子宮破裂，分娩結跼良好。結論：對疤痕子宮再妊娠者，應正確評估陰道試產的條件，分娩期加彊產程鑑測，及時髮現子宮破裂的跡象，積極預防及處理產後齣血。
목적：총결파흔자궁재임신경음도분면적산정감측급산정처리경험，강저불량분면결국적발생솔。방법：회고성분석28례파흔자궁재임신경음도분면적병례자료。결과：28례파흔자궁재차임신경음도분면적병례중，순산27례，겸산1례，산후출혈2례，산후2 h 출혈량>400 ml 자7례，신생인체중1750~3650 g，무신생인질식，무자궁파렬，분면결국량호。결론：대파흔자궁재임신자，응정학평고음도시산적조건，분면기가강산정감측，급시발현자궁파렬적적상，적겁예방급처리산후출혈。
Objective To sum up the experiences of birth process monitoring and nursing of vaginal delivery in further pregnancy of scar uterus in order to decrease the incidence rate of adverse birth outcome. Method Retrospective analysis was performed for data of 28 cases of vaginal delivery in further pregnancy of scar uterus. Results In 28 cases of vaginal delivery in further pregnancy of scar uterus, there were 27 natural labors,1 case of forceps labor,2 cases of postpartum hemorrhages and 7 cases of postpartum blood loss > 400 ml/ 2 h. The weight of neonate was 1 750 ~ 3 650 g and there wasn't neonatal asphyxia and uterine rupture. The outcome of childbirth was good. Conclusion For the case with the further pregnancy of scar uterus,we should evaluate correctly the conditions of vaginal trial produc-tion and enhance the labor monitoring during the childbirth,identify the sign of uterine rupture immediately and prevent and process active-ly the postpartum hemorrhage.
