剖宫产术后再次妊娠98例分娩方式分析

Analysis of 98 cases of delivery mode with prior cesarean section

目的研究剖宫产术后再次妊娠分娩的方式。方法分析本院剖宫产术后再次妊娠产妇98例的分娩方式以及分娩结局。将剖宫产术后阴道分娩(VBAC)组25例与再次剖宫产(RCS)组63例进行比较,VBAC25例与同期随机选取的非瘢痕子宫阴道分娩(VBNC)60例进行对照。结果 VBAC组与VBNC组产后出血量、新生儿窒息、先兆子宫破裂发生率差异均无统计学意义(P>0.05),VBAC组产后出血量、平均住院天数以及产后感染发生率均优于RCS组,差异有统计学意义(P<0.05)。结论剖宫产术后再次妊娠如果符合阴道试产的条件,在严密监护下可以选择阴道分娩。

Objective To study the delivery mode of the re-pregnant women after cesarean section. Methods The ways and the results of childbirth for 98 cases of re-pregnant women after cesarean section were analyzed. 25 cases of VBAC were compared with 63 cases of RCS, 25 cases of VBAC were compared with the randomly chosen 60 cases of VBNC of the same period. Results There were no significant differences between VBAC and VBNC in postpartum hemorrhage, neonatal asphyxia and the incidence of uterine rupture threatened （P 〉 0.05）. The quantity of postpartum hemorrhage, the average days of hospitalization and the rate of postpartum infection of VBAC were better than those of RCS, with statistical significance （P 〈 0.05）. Conclusion Patients who are fit for vaginal birth can choose vaginal birth under intensive monitoring.