剖宫产术后再次妊娠分娩方式的探讨

Investigation of the Del ivery Mode of the Re-pregnancy after Cesarean Section

目的：分析剖宫产术后再次妊娠的分娩方式的最好方法，探讨其对母婴结局的影响。方法：对2012年1月～2013年12月在我院2年间187例剖宫产术后再次妊娠的患者进行分析研究。结果：阴道试产分娩成功63例，试产率33．69％（63/187），试产成功率82．89％（63/76），再次剖宫产成功率66．31％（124/187）。2种分娩方式的孕妇一般情况及围生儿情况，孕妇在年龄、孕周、新生儿窒息率发生率，产褥病率方面比较差异无统计学意义（p＜0．05）。结论：本次妊娠无剖宫产指征，应鼓励提倡产妇阴道分娩，并且是安全、经济的。

Objetcive：To analyze the best delivery mode of re -pregnancy and explore it ＆#39;s influence on maternal and neonatal out-comes .Method：Analyze and researched187 cases of cesarean section patients of our hospital in 2012 January to 2013 December .Re-sults：There were 63 cases succeed through vaginal delivery , trial production rate was33.69%（63/187）, trial produce success rate was 82.89%（63/76） and success rate of cesarean section was 66.31%（124/187）.General and perinatal infants situation of two kinds of mode of delivery pregnant women, age, gestational age, neonatal asphyxia rate, puerperal infection rate had no significant difference （p〈0.05）.Conclusion：This pregnancy has no indications of cesarean section , we encourage pregnant women to promote vaginal delivery , it is safe and economic .