摘要
目的探讨剖宫产术后再次妊娠分娩方式的选择。方法随机抽取2008-01～2009-09收治剖宫产术后再次妊娠孕妇156例,对其分娩方式、分娩结局及医疗费用进行回顾性分析评价。结果 156例剖宫产术后再次妊娠者,行再次剖宫产(RCS)125例(其中择期剖宫产112例,阴道试产改行剖宫产13例),占80.13%;阴道试产(TOL)44例,占28.21%,试产成功率为70.45%;阴道分娩(VBAC)31例,占19.87%。RCS组较VBAC组出血量大,分别为(175.7±4.0)ml和(85.5±8.5)ml,平均住院天数RCS组较VBAC组相对较长,分别为(8.20±1.58)d和(3.20±0.42)d,医疗费用RCS组较VBAC组为高。结论有剖宫产史再次妊娠者,不一定选择剖宫产作为绝对指征,如无试产禁忌者可在严密监护下先行阴道试产。
Objective To discuss the delivery way of the re-pregnaey after cesarean section. Methods From January 2008 to September 2009, the ways of childbirth ,the results of childbirth and the cost in the 156 cases of re-pregnacy after cesarean section randomly selected were retrospectively analyzd. Results Among 156 cases of repregnacy after cesarean section, 125 cases received repeated cesarean section （RCS） （ 112 cases received selective cesarean section, 13 cases received cesarean section after failure of trial of vaginal labor） ,accounted for 80. 13% ;the trial of vaginal labor were adopted in 44 cases, accounted for 28.21% ;the VBAC 31 cases, accounted for 19. 87% ; the success rate of trial of vaginal labor was 70. 45 %. The quantity of postpartum hemorrhage of RCS was more than that of VBAC, [ （85.5 ± 8.5 ）ml, （175.7 ±4.0）ml ], and the average days of hospitalization were more than that of VBAC,[（8.20±1.58）d,（3.20 ±0.42）d],and the cost of RCS was higher than that of VBAC. Conclusion Cesarean section history is not the absolute indication of cesarean section, vaginal birth is possible under intensive monitoring.
出处
《中国临床新医学》
2011年第1期32-34,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
剖宫产
再次妊娠
分娩方式
Cesarean section
Re-pregnancy
Delivery mode
