剖宫产再次妊娠经阴道分娩的可行性及安全性分析

Feasibility and Safety Analysis of Transvaginal Delivery for Cesarean Section Re-pregnancy

目的分析剖宫产术后再次妊娠经阴道分娩的可行性及安全性。方法选取本院2017年2月-2018年2月收取的40例经过剖宫产再次妊娠并且自愿接受阴道分娩的产妇作为观察组,其同期选择40例初次妊娠高危风险和无剖宫产指征的产妇作为对照组,两组产妇均进行阴道式产方案,并且详细记载产妇的平均产程和阴道助产以及新生儿窒息产后大出血等情况,同时对比分析两组产妇的试产成功率。结果观察组产时出血量、产后出血量低于对照组(P<0.05);观察组住院时间、产程时间均短于对照组(P<0.05);观察组新生儿Apgar评分高于对照组(P<0.05);观察组产后并发症发生率低于对照组(P<0.05)。结论针对临床剖宫产术后再次妊娠阴道分娩时,只要临床符合试产条件,在严格保护下进行分娩是可行并且安全的。

Objective To analyze the feasibility and safety of vaginal delivery after cesarean section. Methods 40 cases of pregnant women who underwent cesarean section and accepted vaginal delivery voluntarily from February 2017 to February 2018 were selected as observation group.During the same period, 40 women with high risk of first pregnancy and no indication of cesarean section were selected as control group. Both groups were given vaginal delivery program. The average course of labor, vaginal midwifery and postpartum hemorrhage caused by neonatal asphyxia were recorded in detail. At the same time, the success rate of trial delivery was compared between the two groups. Results The amount of intrapartum hemorrhage and postpartum hemorrhage in the observation group were lower than those in the control group(P < 0.05). The length of hospital stay and the duration of labor in the observation group were shorter than those in the control group(P < 0.05). The Apgar score of the observation group was higher than that of the control group(P < 0.05). The incidence of postpartum complications in the observation group was lower than that in the control group(P < 0.05). Conclusion For vaginal delivery after cesarean section, it is feasible and safe to give birth under strict protection as long as it meets the conditions of trial delivery.