剖宫产术后再次妊娠分娩方式的探讨

Investigate the Pregnancies After Cesarean Section

目的探讨分析剖宫产术后再次妊娠分娩方式的选择及术后并发症分析。方法回顾性分析我院妇产科收治的110例剖宫产后再次妊娠孕妇的临床资料,分为阴道试产组和再次剖宫产组,同时选取40例第一次妊娠的产妇作为对照组,对比分析不同分娩方式的结局及产后并发症情况。结果试验组阴道分娩成功率、产程和术后出血量略大于对照组阴道分娩,婴儿Apagar评分略小于对照组,两组住院时间比较具有显著性差异;试验组再次剖宫产手术时间、产后出血量、住院时间和婴儿Apagar评分和对照组比较,均具有显著性差异。阴道试产组并发症发生率4.8%;再次剖宫产术后并发症发生率27.9%;对照组阴道分娩产后并发症发生率5.0%,剖宫产术后并发症发生率15.0%,阴道分娩产后并发症发生率低于剖宫产术后并发症发生率。结论对剖宫产后再次妊娠孕妇选择合适的分娩方式,可有效降低术后并发症发生率。

Objective To study the selection of the pregnancy childbirth way again after cesarean section, and postoperative complications were analyzed. Methods A retrospective analysis of 110 cases of obstetrics and gynecology hospital cesarean section again the clinical data of pregnancy pregnant women, divided into vaginal trial production and again cesarean delivery group, and 40 cases of pregnancy women as control group for the first time, the end of the comparative analysis of different delivery way and the status of postpartum complications. Results The treatment group success rate of vaginal delivery and postoperative blood loss slightly larger than the control group, the stages of vaginal delivery, baby Apagar score slightly smaller than the control group, length of hospital stay compared with significant difference between the two groups; Experimental group again cesarean delivery operation time, postpartum blood loss, hospital stay, and baby Apagar score compared to control group, all have significant difference. Vaginal group complications 4.8%, Complications after cesarean section again by 27.9%, Control group 5.0% incidence of vaginal delivery postpartum complications, 15.0% incidence of complications after cesarean section, vaginal delivery postpartum complications significantly lower incidence of complications after cesarean section. Conclusion The cesarean section again pregnancy pregnant women choose the right means of delivery, which can effectively reduce the incidence of postoperative complications.