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孕分娩方式选择及效果。方法选取我院2010年2月至2012年3月收治剖宫产术后再孕妇女168例,其中106例妇女行剖宫产分娩,设为对照组;62例符合阴道分娩适应证妇女行阴道试产,设为阴道分娩组;回顾性分析阴道分娩产妇分娩结局,并比较两组产妇术中及术后指标。结果阴道分娩组妇女阴道试产成功55例,试产成功率为88.7%;同时对照组与阴道分娩组妇女子宫破裂、新生儿死亡、新生儿窘迫、产后出血、产褥疾病及脏器损伤发生率组间比较差异无显著差异(P>0.05)。结论在严格产前检查及产程监护下,剖宫产术后再孕妇女型阴道试产安全可靠。

Clinical Analysis of the Mode of Delivery after Cesarean Subsequent Pregnancy

Objective To investigate the selection and effects of approach into pregnant childbirth cesarean delivery again.Methods 168 patients with repregnant after cesarean section were chose in the period from February 2010 to March 2012 in our hospital and divided into two groups including control group（106 patients） with cesarean delivery again and vaginal-delivery group（91 patients） with vaginal trial production,and the birth outcomes of vaginaldelivery groups were assessed retrospectively,and the intraoperative and postoperative situation of both groups were compared.Results 55 patients of vaginal-delivery group underwent vaginal trial production successfully,the success rate of vaginal trial production was 88.7%;and there was no significant difference in the incidence of Uterine rupture,neonatal death,neonatal distress,postpartum hemorrhage,puerperaldiseases and organ damage between control group and vaginal-delivery groups（P0.05）.Conclusion Under the situation of strict prenatal care and ultrasound monitoring,the vaginal trial production of patients with pregnant childbirth cesarean delivery again is safe and effective.