妇产医学论文8篇：瘢痕子宫再次住院妊娠不同分娩方式的观察研究 .docVIP

妇产医学　8篇 内容提要： ? 瘢痕　再次住院妊娠不同分娩方式的观察研究 ? 功效系数在吉林省不同年度孕产妇保健利用情况及其变化发展趋势分析中的应用 ? 农村孕产妇高危妊娠管理的调查分析 ? 比较宫腔镜与传统诊刮术在　异常出血中诊断的应用 ? 围产期保健对高龄孕产妇的应用效果 ? 短效静脉麻醉药在初次妊娠无痛人流术中应用的研究 ? 妊娠合并　肌瘤患者对妊娠与分娩结局的影响 ? 产科新生儿窒息的成因及预防策略 全文共30856 字 瘢痕　再次住院妊娠不同分娩方式的观察研究 黄怡丰 肖福元 [摘要] 目的 探究并分析瘢痕　再次妊娠时不同分娩方式。方法 采用随机数字表法随机抽取120例瘢痕　再次妊娠的患者，随机分成两组，试验组采用　分娩方式，对照组采用剖宫产的方式，比较两组患者经不同方式分娩后新生儿以及产妇情况。结果 试验组患者产后出血的发生率为8.33%，　内膜异位10.00%，产褥感染13.33%，而对照组产后出血发生率为35.00%，　内膜异位36.67%，产褥感染18.33%，两组比较，差异有统计学意义（P0.05）。试验组新生儿窒息1例、新生儿感染9例、新生儿颅内出血9例，而对照组采用　分娩新生儿窒息3例、新生儿感染11例、新生儿颅内出血12例，两组比较，差异无统计学意义（P0.05）。结论 剖宫产后再次分娩的患者，在符合　分娩的指标时，可选择　分娩进行分娩，　性较高，值得在临床上推广。 关键词： 瘢痕　；再次妊娠；剖宫产；　分娩；观察研究 [中图分类号] R714.4[文献标识码] A[文章编号] 1674-074２（２０１4）04（c）－０033-02 Observational Study on Different Delivery Modes for Repeated Pregnancy after Uterine Scar HUANG Yifeng XIAO Fuyuan Department of Obstetrics and Gynecology， Guangdong Electric Power Board 1 Hospital， Guangzhou， Guangdong Province， 510715， China [Abstract] Objective To investigate and analyze different delivery modes for repeated pregnancy after uterine scar. Methods 120 cases of patients with repeated pregnancy after uterine scar were randomly selected and divided into two groups according to the random number table. Patients in the experimental group were given vaginal delivery， while patients in the control group were given cesarean section. The conditions of newborns and puerperants after different labor modes in two groups were compared. Results The incidence of postpartum hemorrhage， endometriosis， puerperal infection of the experimental group was 8.33%， 10.00%， 13.33%，respectively， and that of the control group was 35.00%， 36.67%， 18.33%， separately， the differences between two groups were statistically significant， P0.05. In the experimental group， there was 1 case of neonatal asphyxia， 1 case of neonatal infection， 9 cases of newborns with intracranial hemorrhage， while in the control group adopted vaginal delivery， there were 3 cases of neonatal asphyxia， 11 cases of