剖宫产术后再次妊娠分娩的相关因素分析

Analysis the Related Factors on Delivery Mode in Repregnant Women after Cesarean Section

目的:探讨剖宫产术后再次妊娠的适宜分娩方式。方法:回顾分析我院178例剖宫产术后再次妊娠妇女的分娩方式,并随机选取同期非瘢痕子宫阴道分娩和再次剖宫产孕妇资料进行对比分析。结果:剖宫产再次妊娠阴道试产的成功率为71.3%,其产后表现与正常孕妇相似,产后出血量、住院时间、并发症明显低于再次剖宫产者。结论:剖宫产史作为再次妊娠剖宫产的指征是不合理的,符合试产条件的在严密监护下可试产,以减少再次术后的各种危险和并发症。

Objective：To explore the appropriate delivery mode in repregnant women after cesarean section. Method：178 cases of repregnant women after cesarean section were analyzed on delivery mode,and compared with uterine scar-grain vaginal delivery（VBNC） and primiparity cesarean section（PCS）. Result：The rate of successful labour was 71.3% of vaginal delivery after cesarean section（VBAC）.They were identical with normal expectant mother,but the volume of delivery blood loss,days of hospitalization and complication was lower than repeat cesarean section（RCS）. Conclusion：We should try the vaginal delivery,which is under suitable condition of vaginal delivery.It can reduce risks and complications.