剖宫产术后再次妊娠100例分娩方式分析

目的分析100例剖宫产术后再次妊娠患者的分娩方式及分娩结果。方法选择2008年1月～2009年5月在某医院产科收治的剖宫产术后再次妊娠患者100例，年龄25～36岁，平均27．9岁。对100例剖宫产术后再次妊娠患者的分娩方式及分娩结果进行分析。结果100例剖宫产术后再次妊娠患者中，阴道分娩16例，占16％；再次剖宫产84例，占84％。阴道试产20例，占20％；试产成功率80％。阴道分娩与再次剖宫产组比较，出生时体重分别为（2956±13）g和（2967±12）g，差异无统计学意义（P〉0．05）。产后出血量分别为（160．5±13．5）ml和（260．5±15．O）ml，差异有统计学意义（P〈0．05）。平均住院天数分别为（5．21±1．35）d和（7．85±6．35）d，差异有统计学意义（P〈0．05）。结论瘢痕子宫再次妊娠分娩方式的选择，既要严格又要慎重。

Analysis of delivery mode of 100 cases with secondary pregnancy aider cesarean section

Objective To analysis delivery mode of 100 cases with subsequent pregnancy after cesarean section. Methods In January 2008 - 2009 May in a hospital maternity pregnant again after cesarean section were treated 100 patients, aged 25 to 36 years, mean age 27.9 years. 100 cases of pregnancy after cesarean section delivery mode and re - delivery were analyzed. Results 100 cases of patients with subsequent pregnancy after cesarean section, vaginal delivery in 16 cases, 16% ; another 84 cases of cesarean section, accounting for 84%. Trial production of the vagina in 20 cases, 20% ; trial production success rate of 80%. Vaginal delivery and cesarean section group again, birth weight was （2956 ± 13 ） g and （2967 ± 12） g, the difference was not statistically significant （P 〉 0. 05 ）. Postpartum blood loss was （ 160.5 ± 13.5 ） ml and （260. 5 ± 15.0） ml, the difference was significant （P 〈0. 05）. The average hospital stay was （5.21 ± 1.35） d and （7.85± 6. 35） d, the difference was significant （P 〈 0.05 ）. Conclusion The uterine scar pregnancy again, the choice of delivery mode, we must strictly have to be careful.