剖宫产术后再次妊娠167例分娩方式分析

Delivery mode of 167 cases of re-pregnancy after caesarean section

目的探讨剖宫产术后再次妊娠的分娩方式。方法 2006年12月—2011年12月对该院产科167例剖宫产术后再次妊娠孕妇的分娩情况进行回顾分析,并与同期首次剖宫产92例比较。结果 167例中108例进行阴道试产,成功75例(成功率69.4%),再次剖宫产33例,先兆宫破2例。再次剖宫产组比首次剖宫产组住院天数长,产后出血及盆腔黏连发生率较首次剖宫产组高,差异有显著性(P<0.05)。结论剖宫产术后再次妊娠并非剖宫产绝对指征,符合试产条件者可在严密监护下给予阴道试产。

Objective To analyze the delivery mode of the re-pregnant women after caesarean section.Methods We Retrospectively analyzed the delivery mode of 167 cases of the re-pregnant women after caesarean section（RCS） between Dec.2006 and Dec.2011.At the same time,we compared those cases with the 92 cases of the first caesarean section（PCS） in the same period.Results In 167 cases,108 cases adopted trial of vaginal labor,with 75 successful cases（the success rate was 69.4%）,33 cases of re-caesarean section,2 cases of threatened rupture of uterus.The average days of hospitalization of the RCS were more than that of the PCS.The quantity of the postpartum hemorrhage and the rate of pelvic adhesion were more than those of the PCS,with statistical significance（P0.05）.Conclusion Caesarean birth history is not the absolute indication of a caesarean birth.If the pregnant fits for the indications of vaginal trial production,vaginal delivery is possible under the intensive monitoring.