剖宫产术后再次妊娠经阴道分娩的回顾性分析

Retrospective analysis of vaginal delivery after cesarean section

目的探讨剖宫产术后再次妊娠经阴道分娩的可行性。方法比较两组孕妇分娩成功率、产时出血量、产程时间、新生儿Apgar评分、住院时间、侧切率等分娩情况及分娩并发症发生情况。结果观察者和对照组分娩成功率分别为85%和88%,差异无统计学意义(P>0.05),两组在产程时间、产时出血量、新生儿Apgar评分、住院时间及分娩并发症(先兆子宫破裂、产后出血、产后感染及新生儿窒息)方面,差异无统计学意义(P>0.05);但观察组侧切率为(56.67%),明显高于对照组(16.67%),差异有统计学意义(P<0.05)。结论剖宫产术后再次妊娠经阴分娩是可行的,但需严格把握经阴的适应症及和禁忌症,产程中要严密监测母儿情况,做好应急预案。

bObjective To investigate the feasibility of vaginal delivery after cesarean section.Methods Making a comparison two groups of pregnant women’s delivery success rate, postpartum hemorrhage volume, duration of labor, neonatal Apgar score, hospitalization time, side cutting rate and other delivery and complications of childbirth.Results The successful delivery rates of the observer and the control group were 85% and 88%, respectively. There is no statistically signifcance of the diference. （P〉0.05）,there was no statistically signifcant diference （P〉0.05）between the two groups on the labor time, output volume, neonatal apgar score, hospitalization time and birth complications （postpartum hemorrhage, uterine rupture, postpartum urinary retention, puerperal infection and neonatal asphyxia） ;But the lateral resection rate of the observation group was 56.67%, which was signifcantly higher than that of the control group （16.67%）, the diference was statistically signifcant （P〈0.05）.Conclusion The vaginal delivery after cesarean section is feasible, but the indications and contraindications should be strictly controlled, and the mother and fetus should be closely monitored during the birth, so as to make emergency plans.