摘要
目的:探讨剖宫产术后再次妊娠经阴道分娩的可行性。方法:回顾性分析本院收治的323例具有剖宫产史再次妊娠产妇的临床资料。将剖宫产术后选择经阴道试产组83例与选择再次剖宫产组240例的产后平均出血量、产后出血、新生儿窒息、产褥病、平均住院天数进行比较,并随机抽取同期非疤痕子宫选择经阴道试产组83例进行对照。结果:323例中83例选择阴道试产,占25.70%(83/323),其中73例试产成功,成功率87.95%(73/83),试产失败10例,占12.05%(10/83),再次选择剖宫产240例,占74.30%(240/323)。剖宫产术后选择经阴道试产组与RCS组比较产后出血率、新生儿窒息率差异无统计学意义(P>0.05),产后平均出血量差异有统计学意义(P<0.05),平均住院天数差异有显著性意义(P<0.01)。与对照组比较差异均无统计学意义(P>0.05)。三组产妇均未并发产褥病。结论:严格把握剖宫产术后再次妊娠经阴道试产的适应证,严密监护下阴道试产是安全可行的,可比再次剖宫产组明显缩短平均住院天数。
Objective：To investigate the feasibility of vaginal delivery in repeated pregnancy after cesar-ean section .Method：The case history information of 323 pregnant women with previous cesarean section de-livery were collected for retrospective study .The average quantity of postpartum hemorrhage ,the rate of post-partum hemorrhage , neonatal asphyxia and puerperalism ,the average of hospitalization days were compared between the vaginal trial production group （ Group A） with 83 cases and the repeate cesarean section group （Group B） with 240 cases.And 83 cases of vaginal trial productio at the same period in non-uterine scar （Group C） were compared also.Result： Among 323 pregnant women, 83 cases （25 7.0%）of vaginal trial production,73 cases（87.95%,73/83） were successful.Repeate cesarean section was 240 （74.30 %,240/323）.Ther were no significant difference （ P＆gt;0.05） in the rate of postpartum hemorrhage and the rate of neonatal asphyxia ,There＆#39;s significant difference （ P ＆lt;0.01） in the average quantity of postpartum hemorrhage and the average of hospitalization days between Group A and Group B .And there＆#39;s no significant difference between Group A and Group C .The three groups were not concurrent maternal puerperal disease .Conclu-sion： Vaginal trial production is save and feasible in repeated pregnancy after cesarean section delivery by intensive care and need to strictly control the indications .It also can reduce the hospitalization days .
出处
《河北医学》
CAS
2014年第4期549-551,共3页
Hebei Medicine
关键词
剖宫产
再次妊娠
分娩方式
Cesarean section
Repeated pregnancy
Delivery mode
