目的探讨疤痕子宫足月妊娠产妇经阴道试产产程特点与妊娠结局。方法选择2016年1-12月深圳市南山区妇幼保健院接收的58例疤痕子宫足月妊娠产妇作为研究组,选择同期深圳市南山区妇幼保健院接收的58例初次妊娠足月产妇作为对照组,两组均采取阴道分娩。对比两组终止妊娠的方式、总产程时间、产后24 h出血量、新生儿Apgar评分情况及母婴并发症情况。结果两组剖宫产、阴道分娩与阴道助产的发生率对比差异无统计学意义(P>0.05)。两组总产程时间、产后24 h出血量与新生儿Apgar评分对比差异无统计学意义(P>0.05)。两组感染、阴道裂伤、产后出血、尿潴留与新生儿窒息对比差异无统计学意义(P>0.05)。结论疤痕子宫足月妊娠产妇经阴道试产与正常阴道分娩在产程与妊娠结局方面差异无统计学意义,安全可行,值得应用。

Objective To probe into the characteristics of labor history and pregnancy outcome of the full term pregnant women with scar uterus. Methods 58 cases of full term pregnant women with scar uterus received services in our hospital from January 2016 to December 2016 were selected as the study group. Another 58 cases of full term primipara received services in our hospital in the same period were selected as the control group. Two groups took the vaginal delivery at the first time. The data of the mode of terminal of pregnancy,the total birth process time,the amount of 24 h bleeding after delivery,the Apgar score of the newborn and the complications of the mother and child of two groups were compared. Results There was no significant difference in the incidence of caesarean section,natural childbirth and vaginal midwifery between the two groups(P > 0. 05). There was no significant difference in the total labor time,postpartum 24 h bleeding after delivery and Apgar score between the two groups(P > 0. 05). There was no significant difference in the infection,vaginal laceration,postpartum hemorrhage,urinary retention and neonatal asphyxia between the two groups(P > 0. 05). Conclusion There is no significant difference in the birth process and pregnancy outcome between the vaginal birth after cesarean(VBAC) and vaginal delivery. VBAC is safety and feasible and it is worth to be applied.