剖宫产术后再次妊娠经阴道分娩的可行性及安全性研究

Research on the feasibility and safety of transvaginal delivery of re-pregnancy 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及安全性。方法:选取2018年5月-2019年10月剖宫产术后再次妊娠经阴道分娩产妇100例,作为研究组;同期选取无剖宫产史妊娠经阴道分娩产妇100例,作为对照组。比较两组各项临床指标水平及母婴结局。结果:研究组产妇出血量及住院时间均低于对照组,差异有统计学意义(P<0.05)。两组新生儿体重、新生儿Apgar评分、产妇产后并发症发生率、阴道分娩成功率及母子存活率比较,差异无统计学意义(P>0.05)。结论:剖宫产术后再次妊娠经阴道分娩的出血量较少,住院时间较短,可行性较高。

Objective:To explore the feasibility and safety of transvaginal delivery of re-pregnancy after cesarean section.Methods:From May 2018 to October 2019,100 cases of pregnant women who were re-pregnant after cesarean section were enrolled as the study group.At the same time,100 cases of pregnant women with no history of cesarean section who gave birth by transvaginal delivery were enrolled as the control group.The various of indicator levels and the outcome of maternal and infant were compared between the two groups.Results:The amount of bleeding loss and the length of hospital stays of maternity in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The neonatal body mass,the neonatal Apgar score,the incidence rate of postpartum complications of maternity,the success rate of vaginal delivery and the survival rate of mother and child between the two groups were compared,the differences were not statistically significant(P>0.05).Conclusion:After cesarean section,the amount of bleeding loss in transvaginal delivery is less,the length of hospital stays is shorter and the feasibility is higher.