剖宫产术后再次妊娠的分娩方式分析

Analysis of Delivery Mode of Subsequent Pregnancy after Cesarean Section

目的探析剖宫产术后患者再次妊娠的分娩方式。方法整群选取该院2013年1月—2015年5月收治的87例剖宫产术后再次妊娠患者,对其临床资料进行回顾性分析,其中43例选择阴道试产(A组),44例选择再次剖宫产(B组),分析两组不同分娩方式的结局。结果 A组出血量(154.8±10.3)m L、住院时间(3.0±1.5)d、Apgar(9.4±0.3)分较对照组比较差异具有统计学意义,P<0.05;A组并发症发生率2.33%较对照组22.73%比较差异具有统计学意义,P<0.05。结论剖宫产术后的产妇再次妊娠已经不是剖宫产的必要指征,在密切的监测下能够行阴道试产。

Objective To discuss the delivery mode of Subsequent pregnancy after cesarean section. Methods 87 cases of patients with subsequent pregnancy after cesarean section treated in our hospital from January 2013 to May 2015 were se-lected and the clinical materials of them were retrospectively analyzed, 43 cases chose trial of labor （group A）, 44 cases chose re-caesarean （group B）, outcomes of different delivery modes of the two groups were analyzed. Results The amount of bleeding ,length of stay and Apgar in group A were respectively （154.8±10.3）mL,（3.0±1.5）d and （9.4±0.3）, which were significantly different from those in group B（P〈0.05） and the difference was statistically significant;the incidence of compli-cations in group A （2.33%）was different from that in group B （22.73%）,（P〈0.05）, and the difference was statistically signifi-cant. Conclusion Subsequent pregnancy for puerpera after cesarean section has not been the necessary indications for uter-ine-incision delivery, and they can undergo trial of labor under close monitoring.