重复剖宫产70例临床分析

Clinical analysis of 70 cases of repeat cesarean section

目的探讨重复剖宫产对孕产妇及围产儿结局的影响。方法收集剖宫产及重复剖宫产产妇150例，根据剖宫产次数分为初次剖宫产组（初次组）80例，重复剖宫产组（重复组）70例。分析两组孕妇的临床资料、产时产后并发症及围产儿结局和母乳喂养率。结果两组妊娠合并症（X^2=3．752，P〈0．05）、盆腔粘连发生率（X^2=7．852，P〈0．01）、母乳喂养率6个月、12个月（X^2=1．665、3．765，均P〈0．05），妊娠合并症的发生率与剖宫产次数相关（r=0．548，P〈0．05）。结论重复剖宫产不影响围产儿结局，妊娠合并症的发庠率与剖宫产次数有关。

Objective To investigate the cesarean section and repeat cesarean section on maternal and perinatal outcome. Methods 150 cases of repeat cesarean section cesarean section according to the number of cesarean section were divided into repeat cesarean section group （Group A ） 70 cases and primary cesarean section group （ Group B） 80 cases. The clinical data, pregnant women in general, intrapartum and postpartum complications, perinatal outcome in two groups were analyzed. Results The pregnancy with complications in group A were significantly higher than that in group B （X^2 = 3. 752, P 〈 0.05 ） ; The incidence of pelvic adhesions 50% in group A were significantly higher than that 23.8% in group B（ X^2= 7. 852, P 〈 0.01 ） ; The breast-feeding in group A after 6 months, 12 months were lower than that in group B （ X^2 = 1. 6657 ; 3. 756, all P 〈 0.05 ）. The incidence of pregnancy complications associated with the frequency of cesarean section （ r = 0.548, P 〈 0.05 ）. Conclusion Repeat cesarean section does not affect the perinatal outcome, the incidence of pregnancy complications related to the number of cesarean section.