剖宫产术后再次妊娠分娩的产科处理的临床分析

Clinical Analysis of Obstetric Treatment Delivery Pregnancy after Cesarean Section

目的:分析剖宫产术后再次妊娠分娩的产科处理。方法选择2010年8月~2012年8月我院妇产科收治的孕妇101例,所有孕妇均为剖宫产后再次妊娠,对孕妇前次剖宫产指证和本次妊娠现状进行分析,判断是采用阴道分娩还是再次剖宫产。结果本组101例孕妇选择阴道分娩61例,其中54例分娩成功,成功率为88.5%,在54例成功阴道分娩者中48例为自然分娩,其余6例行会阴侧+产钳术,阴道分娩不成功的孕妇转行剖宫产,再次剖宫产孕妇共47例,均成功。结论在剖宫产后再次妊娠分娩处理中,医师应该加强对孕妇个体情况的了解,对阴道分娩和剖宫产的适应证准确掌握,选择最恰当的处理方式。

Objective:to analyze obstetrical treatment delivery pregnancy after cesarean section.Methods:in 2010 August-2012 year in August my courtyard department of gynaecology and obstetrics treated 101 cases of pregnant women,al pregnant women for pregnancy after cesarean section,to the pregnant woman the previous cesarean section and the pregnancy situation analysis,judgement is the use of vaginal delivery or cesarean section.Results:in this group,101 cases of pregnant women vaginal delivery in 61 cases,including 54 cases of delivery success,the success rate was 88.5%,in 54 cases of successful vaginal delivery in 48 cases of natural childbirth,the remaining 6 cases of perineal side+forceps delivery,vaginal delivery is not successful in pregnant women to cesarean section,once again pregnant women with cesarean section a total of 47 cases were successful.Conclusion:in the treatment of secondary pregnancy after cesarean section delivery in pregnant women,physicians should strengthen the individual understanding of the situation,the vaginal delivery and cesarean section indication accurately,select the most appropriate treatment.