探讨剖宫产术后再次妊娠孕妇的分娩方式

Discussion of delivery modes for subsequent pregnant women after cesarean section

目的:探讨剖宫产术后再次妊娠孕妇的分娩方式。方法:根据分娩方式将404例剖宫产术后再次妊娠孕妇分为阴道分娩组和剖宫产组。结果:404例孕妇中100例行阴道试产,22例试产成功,成功率为22.0%。两组孕妇的分娩方式对新生儿影响各项指标比较,差异无统计学意义(P>0.05);平均住院天数、产褥感染、产后出血量以及恶露时间的指标上,剖官产组孕妇均较阴道分娩组高,组间差异有统计学意义(P<0.05)。结论:剖宫产术后再次妊娠孕妇的分娩方式,应依照孕妇综合情况进行选择剖宫产术或阴道分娩,如无绝对指征,应予充分阴道试产。

Objective: To investigate delivery modes for subsequent pregnant women after cesarean section. Methods: A retrospective analysis of the delivery modes for 404 subsequent pregnant women after cesarean section was done. Results: The 404 cases were divided into vaginal delivery group and cesarean section group according to their delivery modes. Among the 100 cases trying vaginal delivery,22 cases succeeded with a success rate of 22.0%. There were no significant differences in the influences of vaginal delivery and cesarean section on the newborn( P>0.05). However,the average length of stay,puerperal infection,postpartum hemorrhage and lochia time of cesarean section group were higher than those of vaginal delivery group,and the differences were statistically significant( P<0.05). Conclusions: The delivery modes for the subsequent pregnant women after cesarean section should be made based on the patient's overall situation,if there are no absolute indications,it should be fully vaginal trial production.