Objective To analyze the choice of different delivery modes and its effect on maternal and fetal outcome in pregnant women with scarred uterus. Methods From January 2017 to December 2018, 160 parturients who met the criteria for vaginal trials after cesarean section were included in the Department of Obstetrics and Gynecology of Hefei First People's Hospital. The delivery methods were selected based on the results of doctors' evaluation and the wishes of mothers. They were divided into vaginal birth after cesarean group and elective repeat caesarean section group, and vaginal trial failed to emergency cesarean section. At the same time, 40 parturients who delivered in hospital at the same time were selected as the control group. The clinical data and delivery situation of scar uterine parturients in each group were compared, and the factors affecting the success of vaginal trial delivery of scar uterine parturients were analyzed. Results In scar parturients, the success rate of VBAC trial production was 85%. There were significant differences in maternal weight, BMI, time from the last cesarean section, neonatal weight, blood loss during delivery and 24h postpartum blood loss between VBAC group and failed vaginal delivery group (P<0.05). There was no significant difference in age, times of pregnancy, times of delivery, scar thickness and neonatal Apgar score between VBAC group and failed vaginal delivery group. Body weight, BMI, gestational week, time from the last cesarean section, birth weight,postpartum hospital stay and postpartum hemorrhage in VBAC group were significantly lower than those in ERCS group (P<0.05), but there was no significant difference in age, times of pregnancy, times of delivery, scar thickness, and neonatal Apgar score (P>0.05). Compared with control group, there was no significant difference in the amount of bleeding during delivery, 24 hours after delivery, neonatal Apgar score and postpartum hospital stay between VBAC group and control group. (P>0.05). Conclusions Pregnant women with scar uterus can encourage trial delivery and improve maternal and fetal outcome with strict operating procedures and control of BMI and fetal weight during pregnancy. |