剖宫产术后再次妊娠分娩方式的临床研究

Clinical Study of Postoperative Pregnancy After Cesarean Section

目的分析剖宫产术后再次妊娠者接受阴道试产以及剖宫产的价值。方法选择2016年7月—2017年7月我院收治的200例剖宫产术后再次妊娠分娩者为研究对象,按照就诊方式,分为对照组和观察组,每组100例。对照组接受剖宫产,观察组行阴道试产,分析结果。结果和剖宫产者相比,二次阴道试产成功者的阴道试产成功者的出血量,住院时间、费用较低,P<0.05。而和阴道试产失败者相比,试产成功者的先兆子宫破裂率以及新生儿窒息率较低,P<0.05。结论对于剖宫产术后再次妊娠者,只要产妇符合阴道试产指征,无禁忌证,开展此种生产方式,安全性强,可减少术后出血量,降低并发症发生率。

Objective To analyze the value of vaginal trial and cesarean delivery after cesarean section.Methods 200 cases of postoperative pregnancy in our hospital from July 2016 to July 2017 were selected as the study subjects.According to the treatment method,they were divided into control group and observation group,with 100 cases in each group.The control group received cesarean section,the vaginal trial and results were analyzed.Results Compared with cesarean delivery,two successful vaginal trial-produce successful vaginal the blood loss,hospital stay,cost significantly lower,P<0.05,and compared with the vaginal trial production failure,trial-produce winners harbinger of uterine rupture rate and neonatal asphyxia rate was significantly lower(P<0.05).Conclusion For the pregnancy again after cesarean section,as long as meet vaginal trial production indications,maternal contraindications,to carry out this kind of mode of production,strong security,can decrease postoperative blood loss,reduce the incidence of complications.