|
|
|
| Analysis of the delivery mode and pregnancy outcomes of pregnant women with cesarean scar diverticulum |
| Zhejiang Wenzhou Hospital of Integrated Traditional Chinese and Western medicine, 325000 |
|
|
|
|
Abstract Objective: To explore the delivery mode and pregnancy outcomes of pregnant women with cesarean scar diverticulum (CSD). Methods: The pregnant women with history cesarean section were selected and divided into CSD group and non-CSD group according to the situation of scar healing. The muscle layer thickness of uterus low segment, delivery method, and pregnancy outcomes of women were compared between the two groups. Results: The muscle layer thickness of uterus low segment and the ratio of vaginal delivery of women in non-CSD group were significant higher than those of women in CSD group (P<0.05), but the emergency cesarean section rate (20.8%) was statistical lower than that (25.6%) of women in CSD group (P<0.05). There were no significant different in the rates of fetal distress, volume of antepartum haemorrhage because of placenta previa, and rate of intrauterine infection between the two groups (P>0.05). The rate of threatened uterine rupture distribution of women (1.2%) in CSD group was significant higher than that (7.9%) of women in non-CSD group (P<0.05). The proportion of Ⅰ, Ⅱ, Ⅲ, and Ⅳclass of women in non-CSD group was different from that of women in CSD group, and the rate of abnormal muscle layer thickness of uterus low segment of women (24.0%) in CSD group was significant higher than that (17.4%) of women in non-CSD group(P<0.05). The rate of uterine inertia of women (6.2%) in CSD group was significant higher than that (3.4%) of women in non-CSD group (P<0.05), but there were no significant different in gestational weeks when delivery, and rates of placenta previa and postpartum hemorrhage, birth weight, and rate of neonatal asphyxia between the two groups (P>0.05). Conclusion: Comparing with pregnant women with good scar healing, CSD pregnant women has higher risk of thin muscle layer of uterus low segment and threatened uterine rupture, and the rate of cesarean section again increases, a higher abnormal rate of lower uterine segment, and is more prone to uterine inertia.
|
|
|
|
|
|
|
|
|
