剖宫产后再次妊娠孕妇经阴道分娩的临床研究

Clinical study on vaginal delivery of pregnant women with postcesarean secondary pregnancy

目的讨论剖宫产后再次妊娠孕妇经阴道分娩方式,总结剖宫产后再次妊娠孕妇经阴道分娩应用效果.方法 200例剖宫产后再次妊娠孕妇,依据分娩方式不同分为对照组(120例)和观察组(80例).观察组采取经阴道分娩方式,对照组采用剖宫产分娩方式.观察两组孕妇分娩情况,对比两组孕妇临床指标以及并发症发生情况.结果观察组经阴道顺产分娩成功率为91.3%,7例孕妇中转为剖宫产;观察组住院费用(4215.1±343.2)元、住院时间(4.0±0.7)d明显少于对照组的(5229.1±788.4)元、(7.9±1.5)d,差异具有统计学意义(P<0.05);观察组并发症发生率7.5%低于对照组的23.3%,差异具有统计学意义(P<0.05).结论剖宫产术后再次妊娠孕妇,并非无法选择经阴道分娩方式,护理人员需要详细掌握经阴道分娩的适应证与禁忌证,密切监测孕妇情况,满足经阴道分娩指征的孕妇,需要鼓励其尽量选择经阴道分娩方式,以此降低临床剖宫产率,缩短孕妇住院时间,节省孕妇住院费用.

Objective To discuss the mode of vaginal delivery for pregnant women with postcesarean secondary pregnancy and summarize the effect of vaginal delivery for pregnant women with postcesarean secondary pregnancy. Methods A total of 200 pregnant women with second pregnancy were divided into control group(120 cases) and observation group(80 cases) according to different delivery modes. The observation group received vaginal delivery, and the control group received cesarean section. The delivery situation was observed in the two groups, and the clinical indicators and occurrence of complications between the two groups was compared. Results The success rate of vaginal delivery was 91.3%, and 7 pregnant women were transferred to cesarean section in the observation. The hospitalization costs(4215.1±343.2) yuan and hospitalization time(4.0±0.7) d in the observation group was obviously less than(5229.1±788.4) yuan and(7.9±1.5) d in the control group, and their difference was statistically significant(P<0.05). The incidence of complications was 7.5% in the observation group, and that was lower than 23.3% in the control group. The difference was statistically significant(P<0.05). Conclusion Pregnant women with postcesarean secondary pregnancy can also choose vaginal delivery mode. Nurses need to know the indications and contraindications of vaginal delivery in detail, and monitor the situation of pregnant women closely, so as to meet the needs of pregnant women who have vaginal delivery. They also need to encourage them to choose vaginal delivery mode as far as possible, so as to reduce the clinical cesarean section rate, shorten the hospitalization time and save hospitalization costs.