摘要
目的:探讨剖宫产术后再次妊娠分娩方式的选择。方法:收集2009年1月至2011年1月在我院产科进行分娩的剖宫产术后再次单胎妊娠孕妇500例,分为再次剖宫产组和阴道分娩组,回顾性分析两组母婴妊娠结局情况。结果:500例中208例阴道试产,146例阴道试产成功,成功率为70.2%,剖宫产者354例,剖宫产率70.8%;再次剖宫产组产后出血量、产后感染率、住院费用均高于阴道分娩组,恶露时间及住院天数均较阴道分娩组长,两者比较差异均具有统计学意义(P<0.05);再次剖宫产组新生儿Apgar评分、出生体重、感染、窒息及颅内出血与阴道分娩组相比,均无统计学意义(P>0.05)。结论:剖宫产史不是剖宫产术后再次妊娠再次行剖宫产的绝对指证,符合阴道试产条件者,可在严密监护下予阴道试产。
Objective：To investigate the delivery mode options of the subsequent pregnancy after cesarean section.Methods：500 cases subsequent pregnancy after cesarean section in our hospital obstetric deliveries from January 2009 to January 2011 were divided into re—pregnancy group and vaginal delivery group,retrospective analysis the maternal and child outcome of the two groups.Results：In 500 cases,208 cases chosen vaginal trial production,146 cases vaginal delivery successful,the success rate was 70.2%,354 cases was given to cesarean section,the cesarean section rate is 70.8%,The postpartum hemorrhage,postpartum infection,hospitalization costs,lochia time and hospital time of re—pregnancy group were higher than that of the vaginal delivery group,the difference were statistically significant（P0.05）;The Apgar score,birth weight,infection,asphyxia and intracranial hemorrhage of re—pregnancy group compared with vaginal delivery,the difference were not statistically significant（P0.05）.Conclusion：Prior cesatean is not the absolute evidence of cesarean section in women with subsequent pregnancy after cesarean section,patients with vaginal trial production indications could deliver safely through vaginal with intensive care.
关键词
再次妊娠
剖宫产术
分娩方式
Re—pregnancy
Cesarean section
Delivery mode
