剖宫产术后再次妊娠分娩方式的探讨

A Study of Trial Labor Following Previous Cesarean Section

目的 探讨剖宫产术后再次妊娠的合理分娩方式。 方法 对10 4例剖宫产后再次妊娠的孕妇的分娩方式进行回顾性分析。 结果 5 2例孕妇阴道试产,试产成功率76.8%。选择择期剖宫产为5 2例。 结论 剖宫产史不是再次剖宫产的指征,应结合前次剖宫产的指征、手术方式、术后情况、本次妊娠情况及B超监测伤口情况综合考虑。如无绝对指征。

Objective To establish the rational delivery mode for woman previously received cesarean section. Methods One hundred and four full term pregnant women who had received previous cesarean section were reviewed. Result Among the 104 cases, 52 cases were tried for spontaneous vaginal labor. The success rate was 76.8%. Fifty-two cases were selected to receive cesarean section again. Conclusion The history of cesarean section is not the indication for cesarean section again. All eligible women should try vaginal delivery after previous cesarean section,but the indication of previous cesarean section, the post-cesarean section course, and the present gestation circumstance must be in consideration. The condition of scar tissue under Ultra-B monitoring is critical.