剖宫产术后再次妊娠合理分娩方式的探讨

目的:对剖宫产术后再次妊娠合理分娩方式的选择进行探讨。方法:随机抽取2009年11月-2012年11月我院收治的剖宫产术后再次妊娠孕妇132例,将其按照分娩指征分成甲组阴道试产组和乙组再次剖宫产组;另选择106例无剖宫产史的正常妊娠孕妇,将其分成丙组阴道试产组和丁组剖宫产组。对比分析各组的分娩方式和分娩结局。结果:甲组与丙组比较,试产成功率、产程、新生儿窒息以及产后出血等方面差异无统计学意义(P>0.05)。乙组和丁组比较,手术时间、术中出血量以及住院时间等方面差异显著(P<0.05)。结论:剖宫产术后再次妊娠者若是条件允许可,应尽量选择阴道分娩,避免因再次行剖宫产而导致不良妊娠结局发生,提高分娩安全性。

objective:to repeated pregnancy after cesarean section and reasonable selection of delivery mode are discussed. Random sampling method:in 2009 November -2012 year in November my courtyard after cesarean section pregnancy in 132 cases, the indications according to delivery into the vaginal delivery group and B group again cesarean group; another 106 patients without a history of cesarean section in normal pregnancy, the same will be divided into Bingzu vaginal delivery group and small group of cesarean section. Comparative analysis of each mode of delivery and delivery outcome. Results:compared with C group trial production success rate, labor and postpartum hemorrhage, neonatal asphyxia, the difference was not statistically significant (P>0.05). Group B and group D, operation time, bleeding volume in operation and hospitalization time and other aspects had significant difference (P<0.05). Conclusion:after cesarean section pregnancy if condition permits, try to choose vaginal delivery, to avoid the repeated cesarean section caused by the incidence of adverse pregnancy outcome, improve labor safety.