瘢痕子宫再次妊娠分娩方式分析

目的:探讨剖宫产史的孕妇再次妊娠的分娩方式及妊娠结局。方法:对300例有剖宫产史的孕妇妊娠分娩方式、分娩结局及母婴并发症等进行回顾性分析,将其中再次剖宫产(RCS)210例与首次剖宫产(PCS)210例对照,除此之外的阴道试产(VBAC)90例与同期未有剖宫产史的阴道分娩(VBNC)80例进行对照,对照组采用随机抽样,抽取实验组同期的产妇。结果:300例前次剖宫产史孕妇再次妊娠分娩RCS210例占70%,阴道分娩90例,占30%。RCS在手术时间、术中出血、切口乙级愈合率等方面与PCS比较差异有统计学意义(P<0.05),VBAC组在总产程、产后出血量、新生儿窒息、子宫破裂等方面与对照组比较差异无统计学意义。结论:严格掌握剖宫产指征,对前次剖宫产史的孕妇有阴道试产条件者,应尽量鼓励在严密监护下阴道试产,降低剖宫产率。

Objective： discuss cesarean section history gravida again gestation delivery way and gravidity final result. Methods： which in 2006 -2010, divide into two group. Repregnant women with previous cesarean section were allowed trial of vaginal labour in 28 example,l cesarean section history gravida again caesarean section in 28 example. Result ： history of previous cesarean section in 300 example again gravidity. Again gestation delivery cesarean section occupy 73.33%. Vagina delivery occupy 13.33%. Again cesarean seetio exist statistics difference strict master caesarean section indication to the best of one＇s abilities vagina trial -produce to cesarean section history gravidly reduce The Cesarean Rate.