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| The Delivery Mode of Scar Uterus in Term Pregnancy after Cesarean Section |
| FU Juanjuan, ZHANG Yu, WANG Wenyan |
| The Second Affiliated Hospital of Medical University of Anhui, Anhui Hefei 230000, China |
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Abstract Objective: To investigate the feasibility of vaginal birth after cesarean section scar pregnancy (VBAC). Methods: 90 cases with vaginal delivery after cesarean uterine scar pregnancy from January 2009 to August 2016 were selected as the observation group; 50 cases of uterine scar pregnancy underwent cesarean section again as control group 1, the other in our hospital from January June, 2016 to 50 primiparaes in delivery as control group 2. The hospital stay, the amount of postpartum hemorrhage, the amount of postpartum hemorrhage and the duration of labor in 3 groups were analyzed, and the menstrual abnormalities after cesarean section of two groups were compared between the 24 groups. At the same time, the number of cases of abnormal menstruation after cesarean section was compared. Results: Compared with control group 1, the hospitalization time was significantly shorter, the postpartum hemorrhage and postpartum hemorrhage of 24h decreased significantly in the observation group. There was significant difference between the two groups, but there was no puerperal infection and urinary retention in the two groups. Postpartum lochia and menstruation followed up by telephone, 8 cases of observation group had postpartum lochia long and prolonged postpartum period and increased menstrual volume, which significantly less than control group 1. The difference was statistically significant. Compared with the time of labor and the amount of intrapartum hemorrhage, postpartum hemorrhage of 24 hours, there was no significant difference between the observation group and the control group 2. Conclusion: For the scaruterus pregnant women, it is feasible to implement VBAC after control completely and evaluation during pregnancy and prenatal care, under the same condition compared with the recesarean section, there is more advantages inVBAC than cesarean section.
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2017, Vol. 23 
