剖宫产后再妊娠分娩方式的临床分析

Clinical Analysis of Delivery Mode of the Re Pregnancy after Cesarean Section

目的探讨剖宫产后再妊娠的分娩方式及安全性。方法将2010年8月～2013年8月收治的80例剖宫产后再妊娠孕妇,根据分娩方式,随机分为阴道分娩组与再次剖宫产组,对两组产妇的并发症进行分析。结果80例剖宫产后再妊娠孕妇,经阴道试产56例,试产成功40例,占71.4例,其余40例患者行再次剖宫产。再次剖腹产组产妇的产后出血量高于阴道分娩组,住院天数多于阴道分娩组,差异显著（P〈0.05）;再次剖腹产组的产后产妇与新生儿并发症发生率显著高于阴道分娩组,差异有统计学意义（P〈0.05）。结论剖宫产后再妊娠产妇选择分娩方式需要根据自身情况而定,在满足阴道分娩适应证情况下,采取阴道试产安全、有效,是一种可行性较高的分娩方式。

Objective Mode of delivery after cesarean section pregnancy and safety. Methods 80 cases of cesarean section in 2010 August to 2013 August were to pregnant women,according to the mode of delivery,randomly divided into vaginal delivery group and the cesarean section group,the two groups of maternal complications were analyzed. Results80 cases of pregnant womenafter cesarean section pregnancy,56 cases with vaginal delivery,the pilot was successful in40 cases,71. 4 cases,the other 40 patients underwent cesarean section. Repeat cesarean section group of maternal postpartum hemorrhagewas higher than that in vaginal delivery group,days of hospitalization thanvaginal delivery group,significant difference（ P〈0. 05）; again cesarean section postpartum maternal and neonatal complications were was significantly higher than that in vaginal delivery group,the difference was statistically significant（ P〈0. 05）. Conclusions The pregnant women after cesarean sectiondelivery modes according to their own circumstances,to meet the vaginal delivery indications circumstances,take vaginal delivery is safe and effective,is a higher feasibility.