剖宫产后阴道分娩与非瘢痕子宫阴道分娩的临床分析

Clinical analysis of vaginal delivery after cesarean section and non scar uterus vaginal delivery

目的分析剖宫产后阴道分娩与非瘢痕子宫阴道分娩的分娩结局。方法将我院2014年6月至2015年12月收治的60例剖宫产后再次妊娠阴道分娩产妇设为观察组,并选取同期非瘢痕子宫阴道分娩产妇60例为对照组,比较两组产妇的产程、产后出血量、住院时间、输血率、会阴切开率等妊娠结局及新生儿Apgar评分、新生儿体重、新生儿窒息发生率等。结果两组产妇的产程、产后出血量、住院时间、输血率、会阴切开率比较,差异无统计学意义(P>0.05)。两组新生儿Apgar评分、体重、窒息发生率比较,差异无统计学意义(P>0.05)。结论剖宫产后阴道分娩是安全可行的,这为剖宫产术后分娩方式的选择提供一定依据,但需严格掌握引产的适应证及禁忌证,最大程度地避免不良事件的发生。

Objective To analyze the outcome of vaginal delivery after cesarean section and non scar uterus vaginal delivery. Methods Sixty cases of vaginal delivery after cesarean section in our hospital from June 2014 to December 2015 were selected as the observation group. Another 60 cases of non scar vaginal delivery were selected as the control group. The pregnancy outcome such as the birth process, amount of postpartum hemorrhage, length of hospital stay, rate of blood transfusion and rate of episiotomy, Apgar score, neonatal weight, incidence of neonatal asphyxia were compared between the two groups. Results There were no significant differences between the two groups in the birth process, amount of postpartum hemorrhage, length of hospital stays, rate of blood transfusion and rate of episiotomy （P〉0.05）. There were no significant differences between the two groups in Apgar score, neonatal weight and incidence of neonatal asphyxia （P〉0.05）. Conclusion Vaginal delivery after cesarean section is safe and feasible, which can provide some basis for the choice of delivery mode after cesarean section. However, it is necessary to strictly grasp the indications, contraindications of induction of labor and to avoid the occurrence of adverse events to the greatest exten.