剖宫产术后再次妊娠122例分娩方式分析

目的:探讨剖宫产术后再次妊娠分娩方式的选择。方法:对122例剖宫产术后再次妊娠患者的分娩方式选择和有关问题进行回顾性分析。结果:122例中,选择性重复剖宫产术76例,予阴道试产46例,成功17例,成功率37%。结论:宫产术后再次妊娠分娩方式的选择,若没有重复剖宫产的指征,在取得孕妇知情同意的情况下,对具备阴道试产条件的孕妇是可以谨慎阴道试产的,但阴道试产的前提是所在医院要有足够的抢救条件和能力,并要能做到良好的医患沟通。

Objective：To investigate the delivery mode of re-pregnancy after cesarean birth.Methods：The delivery mode selection and related issues of 122 cases of re-pregnancy after cesarean birth were retrospectively analyzed.Results：Among 122 cases,there were 76 cases of elective repeat cesarean section（ERCS）,46 cases of trial of labor（TOL）.And 17cases of TOL succeeded vaginal birth after cesarean（VBAC）,the success rate was 37%.Conclusion：Providing no indications of repeat cesarean section,TOL is cautiously suggested in pregnant women of re-pregnancy after cesarean birth who were accorded with the standard of TOL with their informed consent,but the premise of TOL should be emphasized that the hospital where offering delivery service should has enough rescue conditions and the ability,and a good communication between doctor and patient is also emphasized.