剖宫产术后再次妊娠分娩方式的探讨

Study on the mode of delivery after cesarean section

目的:探讨剖宫产术后再次妊娠的分娩方式。方法:收治剖宫产术后再次妊娠孕妇75例,回顾性分析其临床资料。结果:VBAC组与VBNC组比较,产时出血量、新生儿窒息率和先兆子宫破裂发生率差异无统计学意义(P>0.05)。RCS组与PCS组比较,产后出血率差异无统计学意义(P>0.05)。在RCS组,出血量和医疗费用明显高于VBAC组,平均住院天数明显长于VBAC组。结论:剖宫产史不是再次剖宫产的绝对指征,没有阴道试产禁忌的孕妇可以行阴道试产。

Objective:To explore the mode of delivery after cesarean section.Methods:75pregnant women after cesarean section were selected,and the clinical data were retrospectively analyzed.Results:Comparison between the VBAC group and the VBNC group,there were no significant differences in the incidence of bleeding,neonatal asphyxia and the incidence of threatened uterine rupture(P>0.05).Comparison between the RCS group and the PCS group,there was no significant difference in postpartum hemorrhage rate(P>0.05).In the RCS group,the amount of bleeding and medical costs were significantly higher than the VBAC group,and the average length of hospital stay was significantly longer than the VBAC group.Conclusion:Cesarean section was not an absolute indication of repeat cesarean section.Pregnant women without vaginal trial production ban can use vaginal trial production.