医学硕论（妇产科）-关于疤痕子宫再次妊娠分娩方式及风险的讨

目 录 中文摘要 ··················································· 1英文摘要 ··················································· 2前言 ························································4资料与方法 ··················································4结果 ························································7讨论 ·······················································9结论 ·······················································13参考文献 ···················································14综述························································17致谢 ·······················································24 关于疤痕子宫再次妊娠分娩方式及风险的探讨摘 要目的：为了探讨疤痕子宫再次妊娠的分娩方式以及不同的分娩方式所带来的风险方法：2015 年 1 月至 2015 年 12 月之间湖北省襄阳市妇幼保健院共收治 401 例疤痕子宫再次妊娠分娩的孕妇。通过判断孕妇自身是否具备阴道试产的条件及是否有阴道试产意愿将 401 位再次妊娠分娩的孕妇分为两组；经阴道试产组和再次择期剖腹产组。将两组孕妇在新生儿窒息发生率、子宫破裂发生率、产后 24 小时出血量、胎盘粘连发生率、胎盘植入发生率、住院时间等数据进行比较分析。结果：401 例疤痕子宫再次妊娠的孕妇具有阴道试产条件的有 245 例，然而 245 例孕妇中有阴道试产意愿并选择经阴道试产的孕妇仅有 35 例。35 例阴道试产组中 32 例试产成功，成功率 91.4%，试产失败改急诊剖宫产 3 例。而两组孕妇在年龄、孕周、新生儿体重、新生儿窒息发生率及子宫破裂发生率没有明显的差异（P＞0.05），但经阴道试产的孕妇产后 24 ...