摘要
目的:分析瘢痕子宫妊娠患者妊娠结局及再次剖宫产的影响因素。方法:选定本院2018年3月-2020年3月住院治疗的300例瘢痕子宫再次妊娠孕妇作为观察组,以及同期门诊体检的300例非瘢痕子宫再次妊娠孕妇作为参照组,比较两组分娩方式、不良妊娠结局发生率。根据瘢痕子宫再次妊娠孕妇分娩方式分组,将阴道分娩的患者作为观察1组,将剖宫产分娩的患者作为观察2组,单因素、Logistic分析瘢痕子宫妊娠患者再次剖宫产的危险因素。结果:观察组剖宫产率(76.00%)高于参照组(15.00%),观察组阴道分娩率(24.00%)低于参照组(85.00%),差异均有统计学意义(P<0.05)。观察组不良妊娠结局发生率(13.00%)高于参照组(2.67%),差异均有统计学意义(P<0.05)。两组孕周、年龄、两次分娩间隔时间、产程延长、脐带缠绕比较,差异均无统计学意义(P>0.05)。两组骨盆异常、臀位、妊娠期合并症、胎膜再破、羊水异常比较,差异均有统计学意义(P<0.05)。骨盆异常、臀位、妊娠期合并症、胎膜再破、羊水异常是影响瘢痕子宫患者再次剖宫产的危险因素(P<0.05)。结论:瘢痕子宫患者不良妊娠结局发生率较高,骨盆异常、臀位、妊娠期合并症、胎膜再破、羊水异常是再次剖宫产的危险因素,应当引起临床重视,及早予以针对性处理,尽可能改善妊娠结局。
Objective:To analyze the pregnancy outcome of patients with scar uterus pregnancy and the influencing factors of repeat cesarean section.Method:Totally 300 pregnant women with scarred uterus who were hospitalized in our hospital from March 2018 to March 2020 were selected as the observation group,and 300 pregnant women with non-scarred uterus undergoing outpatient physical examination during the same period as the reference group,and compared the two groups for delivery methods,incidence of adverse pregnancy outcomes.According to the re-pregnancy of scarred uterus,the pregnant women were divided into groups again.The patients who gave vaginal delivery were regarded as observation group 1,and those who delivered by cesarean section were regarded as observation group 2.The single factor and Logistic analysis of the risk factors of repeat cesarean section of scarred uterus were observed.Result:The cesarean section rate in the observation group (76.00%) was higher than that in the reference group (15.00%),and the vaginal delivery rate in the observation group (24.00%) was lower than that in the reference group (85.00%),the differences were statistically significant (P<0.05).The incidence of adverse pregnancy outcomes in the observation group (13.00%) was higher than that in the reference group (2.67%),and the differences were statistically significant (P<0.05).There were no statistically significant differences between the two groups in gestational age,age,interval between two deliveries,prolonged labor,and umbilical cord entanglement (P>0.05).The differences between the two groups of pelvic abnormalities,breech position,pregnancy complications,rupture of membranes,and amniotic fluid abnormalities were statistically significant (P<0.05).Pelvic abnormalities,breech position,pregnancy complications,rupture of fetal membranes,and abnormal amniotic fluid were risk factors of repeat cesarean section in pregnant women with scarred uterus (P<0.05).Conclusion:There is a higher incidence of adverse pregnancy outcomes in pregnant women with scarred uterus.The pelvic abnormalities,breech position,complications during pregnancy,rupture of membranes,and abnormal amniotic fluid are the risk factors of repeat cesarean section,which should attract clinical attention.,Provide targeted treatment as early as possible to improve pregnancy outcome as much as possible.
作者
邓艳
张慧
DENG Yan;ZHANG Hui(Maternal and Child Health Hospital of Xiaogan,Xiaogan 432000,China)
出处
《中外医学研究》
2021年第22期157-160,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
再次剖宫产
瘢痕子宫
妊娠结局
危险因素
Repeat cesarean section
Scarred uterus
Pregnancy outcome
Risk factors
