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剖宫产术后再次妊娠分娩方式临床分析 被引量:5

Clinical analysis of delivery mode in repregnant women after caesarean section
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摘要 目的:探讨剖宫产术后再次妊娠分娩方式的选择。方法:回顾性分析我院2010~2012年剖宫产术后再次妊娠350例的临床资料。结果:瘢痕子宫阴道分娩组的平均产后2h出血量、平均产程时间、产褥病率、新生儿窒息的发生率等与非瘢痕子宫阴道分娩的产妇进行比较差异均无统计学意义;与瘢痕子宫剖宫产组比较产后2h出血量少、住院时间短、住院费用低(P<0.05)。与非瘢痕子宫行剖宫产组比较,瘢痕子宫剖宫产组平均产后2h出血量多、产程长、切口非甲级愈合率高、住院时间长、住院费用高(P<0.05)。结论:对于剖宫产后第2次妊娠的产妇,阴道试产为一种安全有效、经济的分娩方式。 Objective: To explore the delivery way in repregnant women after cesarean section. Methods: Clinical data of the pitalized in our hospital delivery mode in 350 cases of repr from 2010 to 2012 were analyzed egnant women after cesarean section hossignificant differences in the average amount of postpartum retrospectively. hemorrhage aft Results: There were no er 2 hours, the mean duration of labour, the incidence of neonatal asphyxia between the scarred uterus vaginal delivery group who had secondary pregnancy and the non-scarred uterus vaginal delivery group who had secondary pregnancy, and the cases with successful trial vaginal labor after operation recovered quickly, hospitalization time was shortened, and hospital expenses was reduced(P〈0. 05). Compared with non-scarred uterine cesarean section group, the average amount of postpartum hemorrhage after 2 hours, the mean duration of labour, the incidence of neonatal asphyxia, and hospital stay in the scarred uterine cesarean section group (P〈0.05). Conclusion: Trial vaginal labor is an effective and safe delivery mode for repregnant women after caesarean section.
作者 苏艳芳
出处 《华夏医学》 CAS 2013年第2期332-334,共3页 Acta Medicinae Sinica
关键词 剖宫产术 再次妊娠 分娩方式 cesarean section repregnant delivery mode
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