摘要
目的探讨剖宫产术后再次妊娠阴道分娩对母婴结局的影响。方法选取52例剖宫产术后再次妊娠经阴道分娩的患者为观察对象，随机选取同期58例经阴道分娩的初产妇为对照组，对比分析两组产妇阴道试产成功率、不同产程时间、新生儿阿氏评分、产妇出血量以及住院时间。结果观察组阴道分娩试产成功率为57．69％，对照组为87．93％，两组比较差异无统计学意义（P〉0．05）。两组产妇产程所需时间、出血量、新生儿阿氏评分以及住院时间比较差异无统计学意义（P〉0．05）。结论瘢痕子宫不能作为剖宫产术的手术指征，对于符合阴道分娩的产妇应给予阴道试产的计划，提高瘢痕子宫患者自然分娩率。
Objective To investigate the feasibility of vaginal delivery in cesarean section pregnancy again. Methods Fifty-two patients with cesarean subsequent pregnancy vaginal delivery were selected as observation subjects and 58 cases of vaginal delivery primipara were selected as control group at the same time. The maternal vaginal trial production success rate, different time of the birth process, neonatal Apgar score, amount of bleeding in patients, and hospital stay was analyzed. Results The success rate of vaginal childbirth trial production was 57.69% in observation group, and the success rate of vaginal delivery trial production in the control group was 87.93% , there was no significant difference be- tween the two groups （P 〉 0. 05 ）. There were no significant differences in the maternal labor time, the amount of bleeding, neonatal Apgar score, and length of hospital stay between the two groups （ P 〉 0.05 ）. Conclusions Uterine scar can not be used as indications for cesarean section surgery, patients with the vaginal delivery indications should be given the opportunities of vaginal trial production, to improve the rate of natural childbirth in patients with uterine scar.
出处
《中国实用医刊》
2014年第2期29-31,共3页
Chinese Journal of Practical Medicine
关键词
剖宫产
再次妊娠
阴道分娩
Cesarean section
Pregnancy again
Vaginal delivery
