瘢痕子宫再次妊娠经阴道分娩的可行性及效果发展策略（基础医学范文）.docVIP

瘢痕子宫再次妊娠经阴道分娩的可行性及效果发展策略（基础医学范文） 文档信息 ： 文档作为关于“医学心理学”中“妇产科学”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文5173字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：瘢痕子宫再次妊娠经阴道分娩的可行性及效果发展策略 1 1 资料与方法 3 3 讨论 4 文2：瘢痕子宫再次妊娠阴道分娩的可行性及安全性分析 5 参考文摘引言： 6 原创性声明（模板） 7 文章致谢（模板） 8 正文 瘢痕子宫再次妊娠经阴道分娩的可行性及效果发展策略（基础医学范文） 文1：瘢痕子宫再次妊娠经阴道分娩的可行性及效果发展策略 DOI：10.14163/j.cnki.11-5547.2015.16.009 【Abstract】 Objective To investigate the feasibility and safety of scarred uterus re-pregnancy by vaginal delivery. Methods There were 60 puerpera with scarred uterus re-pregnancy by vaginal delivery as experimental group， and another 60 puerpera in the same period with non-scarred uterus re-pregnancy by vaginal delivery as control group. Delivery condition， outcomes and complicatio were analyzed in the two groups. Results The delivery success rate in the experimental group was 91.7%， which was lower than 95.0% in the control group. Both groups had puerperal survival rate as 100.0%， and their differences all had no statistical significance （P0.05）. The differences of stages of labor， intrapartum bleeding volume， and neonatal Apgar score between the two groups all had no statistical significance （P0.05）. The experimental group had higher incidence of delivery complicatio as 38.3% than 18.3% of the control group （P0.05）. Conclusion Feasibility and safety of scarred uterus re-pregnancy by vaginal delivery are clinically high enough for relieving pain in puerpera and reducing postoperative complicatio， and it is worthy of promotion and application. 【Key words】 Scarred uterus； Re-pregnancy； Vaginal delivery； Feasibility； Safety 瘢痕子宫是临床上常见的产科疾病， 这种疾病在剖宫产（占多数）、子宫肌瘤剥除术等术后发病率较高。随着人们生活方式的改变， 剖宫产率出现上升趋势， 使得瘢痕子宫再次妊娠者的比例逐渐升高， 剖宫产术后再次妊娠分娩方式的选择成为产科临床突出的问题， 由于再次剖宫产存在膀胱、肠管损伤、切口撕裂、产后出血、盆腔复杂粘连等风险增高， 因此更多的产妇选择阴道分娩[1]。本文探讨瘢痕子宫再次妊娠经阴道分娩的可行性以及安全性， 报告如下。 1 资料与方法 1. 1 一般资料 在本院接受分娩的60例瘢痕子宫再次妊娠经阴道分娩产妇设为实验组， 年龄19～40岁， 平均年龄（29.3plusmn;4.2）岁， 孕周35～40周， 平均孕周（37.5plusmn;2.4）周；选择同期分娩的60例非瘢痕子宫再次妊娠经阴道分娩产妇