43例具有剖宫产史患者再次妊娠经阴道分娩可行性分析

Feasibility Analysis of 43 cases of patients with a history of cesarean section subsequent pregnancy vaginal delivery

目的：本文将对疤痕子宫再次妊娠患者进行临床研究，从而对具有剖宫产史患者再次妊娠经阴道分娩的可行性进行分析，为临床对剖宫产吏患者再次妊娠选择正确的分娩方式提供可靠依据。方法：两组患者在分娩前均给予各项辅助检查，进行分娩时均采用阴道试产。结果：观察组患者经阴道分娩成功率为93．18％，失败率为6．82％，与对照组患者经阴道分娩成功率95．45％，失败率4．55％无明显差异；观察组患者在分娩过程中的产程时间以及分娩过程中出血量均较对照组患者显著增多；观察组患者分娩完成后并发症发生率为11．36％，明显高于对照组患者分娩后并发症发生率2．27％，两组新生儿在性别以及Apgar评分情况与对照组无疤痕子宫孕妇分娩新生儿未出现显著差异。结论：剖宫产史患者再次妊娠经阴道分娩，若医务人员掌握充分的阴道分娩禁忌症以及各项阴道分娩试产条件，在具有全方位医学设备的支持下，此类患者经阴道分娩是安全可行的分娩方式，值得临床推广应用。

Objeetive：To the uterine scar pregnancy patients for clinical research, thus having the history of cesarean section in patients with pregnancy and vaginal delivery of feasibility analysis, clinical on the history of cesarean section in patients with pregnancy and choose the correct mode of delivery to provide reliable basis. Methods：Two groups of patients before delivery were given auxiliary examinations, for delivery by vagina. Result： The observation group were treated by vaginal delivery success rate was 93.18%, a failure rate of 6.82%, compared with a control group of patients after vaginal delivery success rate of 95.45%, a failure rate of 4.55% was not significantly different; the patients in the observation group in the course of delivery time of birth process and during hemorrhage than those in the control group patients in the observation group were significantly increased; after the childbirth complication rate was 11.36%, significantly higher than that of the control group patients after childbirth complication rate was 2.27%, two groups of neonates in gender and Apgar score and a control group without scar uterus of pregnant women did not show signifi- cant differences in neonatal. Conclusion：The history of cesarean sectiot~ in patients with pregnancy and vaginal delivery, if the medical staff to grasp the full vaginal delivery contraindications and the vaginal delivery trial production conditions, with a full range of medical equipment in support of these patients, vaginal delivery is safe and feasible mode of delivery, worthy of clinical application.