摘要
目的 通过 6 2例剖宫术后再次妊娠的孕妇进行阴道试产 ,分析影响其成功的因素。方法 了解6 2例孕妇前次剖宫产的指征及妊娠间隔时间、手术方式 ,用B超检查胎儿双顶径、胎位、子宫疤痕愈合情况 ,严密观察产程进展 ,必要时加用催产素。结果 5 0例成功地阴道分娩 ,成功率为 80 .6 5 % ,产后常规宫腔探查 ,无子宫疤痕破裂 ,无孕产妇死亡 ,新生儿Apgar评分均为 10分。 结论 剖宫术后阴道分娩是可行的 ,并有助于降低剖宫产率。
Objective To study the possibility of induced labor in pregnant women after prerious cesarean section. Methods Inquire into the indication of previous-cesarean section. The method of operation and duration between the two pregnancies by ultrasound B to clarify the position of the fetus' BPD, and details about healing of wound of uterus and closely watched the progress of labor. Results 50/62 patients succeeded in delivery by vagina showing normal uterine cavity after previous cesarean section, routine exploration should no uterine scar perforation or maternal death. Apgar score of neonates' were 10 in all. Conclusions VBAC is reliable and helpful in reducing the rate of cesarean section.(Shanghai Med J, 2000,23∶753-755)
出处
《上海医学》
CAS
CSCD
北大核心
2000年第12期753-755,共3页
Shanghai Medical Journal
关键词
剖宫产
阴道分娩
手术后
再妊娠
Cesarean section
Vaginal birth after cesarean section
Pregnancy
