国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
8期
1080-1083
,共4页
剖宫产术后%经阴道试产%母婴结局
剖宮產術後%經陰道試產%母嬰結跼
부궁산술후%경음도시산%모영결국
Post-pregnancy-cesarean-section%Vaginal trial production%Maternal and infant outcomes
目的 探究分析进行剖宫产后再次妊娠经阴道试产对于母婴结局的影响,了解剖宫产术后再次妊娠经阴道试产对母婴的利弊.方法 选择我院2010至2013年收治的剖宫产术后再次妊娠的产妇共143例;其中,直接进行剖宫产术分娩的产妇有37例,设为对照组;进行阴道试产的产妇有106例,设为观察组.对比2组产妇母婴并发症出现情况.结果 观察组62例产妇成功进行阴道分娩,余下44例产妇阴道试产失败后改行剖宫产术分娩.相对于对照组,观察组产妇产后发热率以及住院费用有显著优异性(P＜0.05).阴道试产成功的产妇先兆子宫破裂率、产后发热率以及新生儿Apgar评分比阴道试产失败的产妇更具优越性(P＜0.05).结论 剖宫产后经阴道试产对母婴结局的影响非常明显,阴道试产成功能够大幅度降低术后出现感染的概率,缩短住院时间以及减少住院费用,而经阴道试产失败的产妇则先兆子宫破裂以及胎儿窘迫等并发症的出现概率大幅度上升,需要谨慎对待.
目的 探究分析進行剖宮產後再次妊娠經陰道試產對于母嬰結跼的影響,瞭解剖宮產術後再次妊娠經陰道試產對母嬰的利弊.方法 選擇我院2010至2013年收治的剖宮產術後再次妊娠的產婦共143例;其中,直接進行剖宮產術分娩的產婦有37例,設為對照組;進行陰道試產的產婦有106例,設為觀察組.對比2組產婦母嬰併髮癥齣現情況.結果 觀察組62例產婦成功進行陰道分娩,餘下44例產婦陰道試產失敗後改行剖宮產術分娩.相對于對照組,觀察組產婦產後髮熱率以及住院費用有顯著優異性(P＜0.05).陰道試產成功的產婦先兆子宮破裂率、產後髮熱率以及新生兒Apgar評分比陰道試產失敗的產婦更具優越性(P＜0.05).結論 剖宮產後經陰道試產對母嬰結跼的影響非常明顯,陰道試產成功能夠大幅度降低術後齣現感染的概率,縮短住院時間以及減少住院費用,而經陰道試產失敗的產婦則先兆子宮破裂以及胎兒窘迫等併髮癥的齣現概率大幅度上升,需要謹慎對待.
목적 탐구분석진행부궁산후재차임신경음도시산대우모영결국적영향,료해부궁산술후재차임신경음도시산대모영적리폐.방법 선택아원2010지2013년수치적부궁산술후재차임신적산부공143례;기중,직접진행부궁산술분면적산부유37례,설위대조조;진행음도시산적산부유106례,설위관찰조.대비2조산부모영병발증출현정황.결과 관찰조62례산부성공진행음도분면,여하44례산부음도시산실패후개행부궁산술분면.상대우대조조,관찰조산부산후발열솔이급주원비용유현저우이성(P＜0.05).음도시산성공적산부선조자궁파렬솔、산후발열솔이급신생인Apgar평분비음도시산실패적산부경구우월성(P＜0.05).결론 부궁산후경음도시산대모영결국적영향비상명현,음도시산성공능구대폭도강저술후출현감염적개솔,축단주원시간이급감소주원비용,이경음도시산실패적산부칙선조자궁파렬이급태인군박등병발증적출현개솔대폭도상승,수요근신대대.
Objective To explore and analyze the infuence of vaginal trial production after pregnancy cesarean section on maternal and infant outcomes and understand the pros and cons to the mothers and infants of vaginal trial production after pregnancy cesarean section.Methods 143 puerperae being pregnant after pregnancy cesarean section admitted into our hospital from 2010 to 2013 were chosen.37 cases delivering through cesarean section were set as a control group,while the rest 106 cases trying to deliver vaginally were set as an observation group.Maternal and infant complications were compared between the two groups.Results 62 cases succeeded in delivering vaginally in the observation group,the other 44 cases delivered through cesarean section after the failure of vaginal trial production.Compared with the control group,the observation group had lower incidence of postpartum fever and spent less in hospitalization (P ＜ 0.05).The incidences of precursory uterine rupture and postpartum fever were lower and the neonatal Apgar score was better in the puerperae succeeded in delivering vaginally than in those failed (P ＜ 0.05).Conclusions There is marked influence of vaginal trial production after pregnancy cesarean section on maternal and infant outcomes.If vaginal trial production succeed,the probability of postoperative infection would be greatly reduces,hospital stay shortened,and hospital costs lowered,but if fail,the incidences of precursory uterine rupture,fetal distress,and other complications would be increased.
