Analysis of pregnancy outcome of 300 elderly pregnant and lying-in women with scar uterus

Abstract

Objective To analyze the delivery mode and pregnancy outcome in the old pregnant and lying-in women with scar uterus. Methods A total of 300 cases of elderly scar uterus pregnant and lying-in women treated in Jinan Maternal and Child Health Care Hospital from January 2015 to December 2018 were selected as observation group, and 300 cases of non-scarring uterus and pregnant women in the same age group were selected and included in the control group. The complications, outcome of the delivery, perinatal conditions and postpartum complications of the two groups were compared. Results There was no significant difference between the incidence of placenta and placenta between the two groups (P>0.05). The incidence of urinary disease, premature rupture of membranes and premature delivery were significantly higher than those in the control group (P 0.05). The rate of cesarean section, macrosomia and low birth weight in the observation group was significantly higher than that in the control group (P<0.05). The incidences of late postpartum hemorrhage, puerperal infection, wound healing and uterine restoration in the observation group were significantly higher than those in the control group (P<0.05). Conclusions Pregnancy complications and caesarean section in elderly women with scar uterus are high, while the risk of post-partum complications is high during the re-delivery, and the post-natal recovery is slow, for this pregnant and lying-in women, we should strengthen the monitoring and take effective preventive measures for the maintenance of mother-to-child safety. Key words: Scar uterus; Pregnancy outcome; Delivery mode