剖宫产术后再次妊娠分娩方式的临床分析

目的探讨剖宫产术后再次妊娠的分娩方式。方法124例剖宫产术后再次妊娠分娩产妇,根据产妇分娩结局不同分为观察组(52例)和对照组(72例)。观察组产妇实施阴道分娩,对照组产妇实施剖宫产术分娩。比较两组产妇产后出血量、住院时间、产后感染情况、并发症发生情况、新生儿体重、Apgar评分情况及满意率。结果观察组产妇产后出血量、住院时间分别为(166.3±62.1)ml、(3.5±0.4)d,对照组产妇产后出血量、住院时间分别为(275.6±51.8)ml、(7.0±0.8)d,观察组产妇产后出血量明显少于对照组,住院时间明显短于对照组,差异均有统计学意义(P<0.05)。对照组产妇产后感染率、并发症发生率分别为12.5%、13.9%,观察组产妇产后感染率、并发症发生率分别为1.9%、1.9%,观察组产妇产后感染率、并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。观察组新生儿体重为(3512±354)g,Apgar评分<7分1例(1.9%);对照组新生儿体重为(3501±341)g,Apgar评分<7分1例(1.4%)。两组新生儿体重及Apgar评分情况比较,差异均无统计学意义(P>0.05)。观察组产妇满意率为94.2%(49/52),对照组产妇满意率为91.7%(66/72),两组产妇满意率比较,差异无统计学意义(P>0.05)。结论针对剖宫产术后再次妊娠分娩方式的选择,若符合指征可实施阴道分娩,其能够更好地保障分娩安全性,但具体需要根据产妇实际情况进行确定。

Clinical analysis of the mode of delivery for repregnancy after cesarean section

Objective To discuss the mode of delivery for repregnancy after cesarean section.Methods A total of 124 repregnancy women after cesarean section were divided into observation group(52 cases)and control group(72 cases)by different delivery outcomes.The observation group received vaginal delivery,and the control group received cesarean section delivery.The amount of postpartum hemorrhage,hospitalization time,postpartum infection,occurrence of complications,neonatal weight,Apgar score and satisfaction rate were compared between the two groups.Results The amount of postpartum hemorrhage and hospitalization time were(166.3±62.1)ml and(3.5±0.4)d respectively in the observation group,which were(275.6±51.8)ml and(7.0±0.8)d in the control group.The amount of postpartum hemorrhage in the observation group was obviously less than that in the control group,and hospitalization time was obviously shorter than that in the control group.Their difference was statistically significant(P<0.05).The postpartum infection rate and incidence of complications were 12.5%and 13.9%in the control group,which were 1.9%and 1.9%in the observation group.The postpartum infection rate and incidence of complications in the observation group was obviously lower than those in the control group,and their difference was statistically significant(P<0.05).In the observation group,the neonatal weight was(3512±354)g,Apgar score<7 points in 1 case(1.9%);in the control group,the neonatal weight was(3501±341)g,Apgar score<7 points in 1 case(1.4%).There was no significant difference in neonatal weight and Apgar score between the two groups(P>0.05).The maternal satisfaction rate was 94.2%(49/52)in the observation group,which was 91.7%(66/72)in the control group.There was no statistically significant difference in maternal satisfaction rate between the two groups(P>0.05).Conclusion As for the choice of the delivery mode of repregnancy after cesarean section,if vaginal delivery can be carried out,it can better ensure the safety of maternal production.However,these need to be determined according to the actual situation of maternal delivery.