剖宫产术后再次妊娠分娩方式的探讨与分析

目的:探讨剖宫产术后再次妊娠分娩方式的选择,从而提高分娩质量.方法:对81例剖宫产术后再次妊娠分娩者的临床资料进行回顾性分析,并将其中62例剖宫产术后再次妊娠剖宫产(RCS组)及19例剖宫产术后再次妊娠阴道分娩(VBAC组)与同期62例首次剖宫产(PCS组)及19例非瘢痕子宫阴道分娩(VBNC组)比较,分析各组分娩结局...

Choice of secondary delivery mode after cesarean section

Objective： To discuss the selection of secondary delivery mode after cesarean section in order to improve delivery outcomes.Methods： A total of 81 cases of second term pregnancy after cesarean delivery,of which 62 cases underwent repeat cesarean section（RCS group）,19 had vaginal birth after cesarean section（VBAC group）.62 corresponding cases that underwent first cesarean section（PCS） and 19 that had non-scarred uterus with vaginal delivery（VBNC） during the same period were also selected for comparison of delivery outcomes.Results： Of the 81 cases,62（76.5%） had RCS,19（23.5%） had VBAC,and significant differences in blood loss volume,Apgar score,and hospital stay length were observed between the two groups（P0.05）.No significantl differences in labor time,intrapartum hemorrhage,Apgar score,number of neonatal asphyxia and hospital stay length was observed between VBNC and VBAC group（P0.05）.Significant differences in operation time,blood loss,postoperative abdominal adhesions and hospital stay were shown between RCS and PCS group（P0.05） while Apgar score of neonatal was not significant different（P0.05）.Conclusion： In order to improve the delivery outcomes,VBAC is proposed for women that had second term pregnancy after cesarean delivery if no high risk factors existe.