不同剖宫产手术时机对瘢痕子宫再妊娠应激反应及分娩风险的影响

Abstract
Figure/Table
References (27)
Related Citation (15)

Download: PDF (572 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effects of different cesarean section operation timings on stress response and delivery risk of scarred uterus re-pregnancy. Methods The clinical data of 105 cases of re-pregnant women with scarred uterus admitted to Shengjing Hospital of China Medical University from May 2017 to May 2020 were selected, according to the different operation timings of elective cesarean section, they were divided into 37 weeks ≤gestational week <39 weeks group (group A, 50 cases) and gestational age ≥39 weeks group (group B, 55 cases). The stress state before delivery and 24 h after delivery, complication rate, and pregnancy outcome of two groups were compared. Results The levels of aldosterone (ALD) and cortisol (Cor) in both groups 24 h were higher than those before delivery, and the level of norepinephrine (NA) in group A was higher than that before delivery, and the differences were statistically significant (P < 0.05). The levels of ALD, NA, and Cor in group B 24 h after delivery were lower than those in group A, and the differences were statistically significant (P < 0.05). The total incidence complication of group B was lower than that of group A, and the difference was statistically significant (P < 0.05). The amount of postpartum blood loss in group B was less than that in group A, the length of hospitalization was shorter than that in group A, and the Apgar score of newborn was higher than that in group A, and the differences were statistically significant (P < 0.05). There was no significant difference in neonatal weight between two groups (P > 0.05). There was no neonatal death in both groups. The incidence of neonatal respiratory diseases in group B was lower than that in group A, and the difference was statistically significant (P < 0.05); there was no significant difference in puerperal infection rate between two groups (P > 0.05). Conclusion Cesarean section can not only reduce stress response, but also reduce the incidence of complications and achieve better pregnancy outcomes for women with scarred uterus re-pregnancy over 39 weeks of gestation.

Key words： Cesarean section Scarred uterus Re-pregnancy Stress response Birth risk

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHU Zhenhao QIAO Chong

Cite this article:

CHU Zhenhao QIAO Chong. Effects of different timings of cesarean section on the stress response and delivery risk of scarred uterus re-pregnancy[J]. 中国医药导报, 2022, 19(18): 78-81.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I18/78

[1] Li HT，Luo S，Trasande L，et al. Geographic variations and temporal trends in cesarean delivery rates in China，2008-2014 [J]. JAMA，2017，317（1）：69-76.
[2] 谢朝云，熊芸，孙静，等.二次剖宫产术后切口感染及其危险因素[J].中国消毒学杂志，2017，34（1）：49-51.
[3] 冯玲，王少帅.瘢痕子宫再次妊娠剖宫产手术时机及并发症[J].中国实用妇科与产科杂志，2019，35（2）：145-147.
[4] Voon HY，Chai MC，Hii LY，et al. Postpartum thromboprophylaxis in a multireligious cohort：a retrospective review of indications and uptake [J]. J Obstet Gynaecol，2018，38（4）：493-497.
[5] 杨柳，杨微.剖宫产指征变化与剖宫产率变化的分析[J].实用妇科内分泌杂志，2017，4（34）：108-109.
[6] 中华医学会妇产科学分会产科学组.剖宫产手术的专家共识（2014）[J].中华妇产科杂志，2014，49（10）：721-724.
[7] 王志坚，曹艳文，孟凡良，等.子宫前壁切除及修补术治疗凶险性前置胎盘并胎盘植入疗效研究[J].中国实用妇科与产科杂志，2017，33（9）：970-974.
[8] 潘秀铭，陈瑶，杨剑辉，等.剖宫产术后感染相关因素的回顾性分析[J].实用临床医药杂志，2019，23（16）：101-103，107.
[9] 吴泽俊，庄雅丽，何娟，等.瘢痕子宫再次妊娠分娩方式及妊娠结局的临床分析[J].中国性科学，2019，28（6）：93－97.
[10] 邱海凡，王连云，潘圆圆，等.剖宫产术后瘢痕子宫阴道分娩的可行性和安全性研究[J].中华全科医师杂志，2019， 18（5）：458-461.
[11] 王林林，陈俊雅，杨慧霞，等.妊娠期子宫瘢痕情况与剖宫产术后再次妊娠孕妇发生子宫破裂的相关性[J].中华妇产科杂志，2019，54（6）：375-380.
[12] 许占英.瘢痕子宫再次妊娠采取阴道分娩的成功率与安全性[J].中国药物与临床，2019，19（12）：2022-2023.
[13] 周艳，黄瑜，陈鸿雁.剖宫产后瘢痕子宫妊娠早产经阴道分娩的可行性与安全性[J].中国性科学，2019，28（6）：65-67.
[14] 严文彦，卢纹，欧燕珊.瘢痕子宫足月妊娠经阴道分娩可行性及临床结局探讨分析[J].中国病案，2019，20（6）：91-93.
[15] 张艺珊，顾向应.瘢痕子宫再次妊娠的全程管理[J].中国计划生育和妇产科，2019，11（5）：5-8.
[16] 李灵玲，肖准.瘢痕子宫产妇两种分娩方式的母儿结局研究[J].中国计划生育和妇产科，2018，10（1）：43-46.
[17] 靳瑾，王志坚.瘢痕子宫再次剖宫产手术的时机与技巧[J].中华产科急救电子杂志，2020，9（2）：74-75.
[18] 张丽伟.不同分娩方式对瘢痕子宫再次妊娠孕妇产后应激状态及母婴结局的影响[J].河南医学研究，2021， 30（7）：1224-1225.
[19] 付宏望，曾木兰，周莹，等.瘢痕子宫产妇再次分娩方式选择及阴道试产影响因素分析[J].中国性科学，2020， 29（1）：63-66.
[20] 吴晓丽，禹虹，罗曼，等.剖宫产术后瘢痕子宫对辅助生殖助孕策略的影响[J].中国医师杂志，2020，22（9）：1332-1336.
[21] 王宝娟，张宗欣.剖宫产后瘢痕子宫妇女再次妊娠的母婴结局分析[J].贵州医药，2020，44（3）：437-438.
[22] 贾世珍.瘢痕子宫阴道分娩的影响因素及对产妇围产期应激反应和免疫功能的影响[J].中国煤炭工业医学杂志，2020，23（5）：486-492.
[23] 张丛敏，刘颖，刘静，等.瘢痕子宫妊娠晚期子宫下段厚度与分娩情况的关联性探讨[J].中国病案，2020，21（6）：89-92.
[24] 曹春珠，陈兵，郑云英.疤痕子宫再次经阴道分娩危险因素及对妊娠结局影响[J].中国计划生育学杂志，2020， 28（8）：1292-1295.
[25] 陈昕华，吴萍，刘延，等.瘢痕子宫女性再次剖宫产产后出血的相关因素分析[J].中国医药科学，2021，11（18）：1-5，17.
[26] 张婷，姬宏宇，王莉，等.瘢痕子宫再次妊娠距上次剖宫产间隔时间与凶险性前置胎盘的关系[J].实用妇产科杂志，2020，36（4）：276-279.
[27] 邓艳，张慧.瘢痕子宫患者妊娠结局及再次剖宫产的影响因素分析[J].中外医学研究，2021，19（22）：157-160.