足月剖宫产术后2年以上再次妊娠分娩方式选择

The Choice of Delivery Mode After 2 Years of Cesarean Section in Term Cesarean Section

目的研究足月剖宫产术后再次妊娠分娩方式选择。方法选取我院198例前次孕足月非头盆不称因素剖宫产术后2年以上再次妊娠现无剖宫产指征孕妇,对阴道试产中分娩时间、阴道出血量、产后感染率进行临床分析。结果在无经阴道分娩禁忌症的情况下,剖宫产术后再次妊娠经阴道分娩在严格监护下可经阴道试产。结论剖宫产术后再次妊娠在孕妇符合阴道分娩指征并获取孕妇及家属的积极配合后,可以进行阴道试产,对孕妇进行术中及术后严密的监护,能够有效提高产妇阴道分娩成功率。大幅度降低临床剖宫产率,降低生产风险。

Objective To study the full-term pregnancy after cesarean section delivery mode selection.Methods198 cases of full-term pregnant women with previous non cephalopelvic factors after cesarean section pregnancy 2 years is no indications of cesarean section in pregnant women in our hospital, vaginal birth after birth time, vaginal bleeding, postpartum infection clinical analysis.ResultsIn the absence of vaginal deliverycontraindications, pregnancy after cesarean section vaginal delivery in the strict monitoring can be vaginal trial production.Conclusion Pregnancy after cesarean section in pregnant women with vaginal delivery refers to actively cooperate with the syndrome and access to the pregnant woman and her family, can be vaginal trial production, monitoring of intraoperative and postoperative close to the pregnant woman, can effectively improve the success rate of vaginal delivery. Greatly reduce the clinical cesarean section rate, reduce the production risk.