摘要
目的探讨剖宫产术后再次妊娠分娩方式对患者预后的相关性。方法对解放军第205医院收治的539例剖宫产后再次妊娠孕妇的分娩方式及其预后进行分析,比较阴道分娩和剖宫产产妇的出血量、妊娠结局、产妇产后大出血以及新生儿Apgar评分、产褥感染等情况。结果两组新生儿窒息、肺炎以及颅内出血的发生率、Apgar评分比较差异无统计学意义(P>0.05),而两组新生儿肺不张以及湿肺的发生率比较差异有统计学意义(P<0.05);两组产妇产后大出血、产褥感染及子宫切除的发生率比较差异有统计学意义(P<0.05)。结论满足试产条件的患者可先进行试产,从而降低剖宫产率,进一步提高产科质量,促进围产医学的进步。
Objective To discuss the correlation between modes of delivery after Cesarean section and the prognosis of patients.Methods Analysis on the delivery mode of 539 cases from PLA 205th Hospital for delivery after Cesarean section and the prognosis were done,hemorrhage volume,outcome of pregnancy,postpartum hemorrhage and neonatal Apgar score,puerperal infection etc.between the vaginal delivery and Cesarean section were compared.Results Differences of neonatal asphyxia,pneumonia,and the incidence of intracranial hemorrhage,Apgar score between the two groups were not significant（P0.05）;differences of neonatal atelectasis and the incidence of wet lung between the two groups were statistically significant（P0.05）.Post-partum haemorrhage,puerperal infection and hysterectomy of the two groups had significant differences（P0.05）.Conclusion The patients who meet trial vaginal delivery conditions can try it first,to reduce the rate of Cesarean section,and further improve the quality of obstetrics,so as to promote progress in perinatal medicine.
出处
《医学综述》
2012年第21期3708-3710,共3页
Medical Recapitulate
关键词
剖宫产
再次妊娠
分娩
Cesarean section
Subsequent pregnancy
Childbirth
