摘要
目的 通过对87例剖宫产术后再次妊娠的孕妇进行阴道试产研究，探讨对剖宫产术后再次妊娠阴道试产的可行性。方法 收集剖宫产术后再次妊娠者103例，随机选择87例进行阴道试产研究。结果 80例（91.95%)成功地完成了阴道分娩。在分娩后进行宫腔探查，发现1例子宫瘢痕不全破裂，即行剖腹探查子宫修补术，无1例发生孕产妇死亡，阴道分娩者的自然分娩率为35%。阴道助产率为65%，80例新生儿产后1minApgar评分≥8分者76例，4-7分者4例。结论 剖宫产术后再次妊娠者，若具有试产适应证而无禁忌证，阴道试产是可行的。
Objective To explorethefeasibilityof vaginaldeliverywithpreviouscesareansection.Methods Eighty-seven randomlychosenpregnantwomenwho hadpreviouslyreceivedcesareansectionwereenrolledinthisstudy,andtheirconsent was obtainedto go throughvaginaldelivery.Results Eightycases(91.95%)completedvaginaldeliveriessuccessfully.Examinationof theuterinecavityafterlaborfoundpartialruptureof theuterinecicatrixin1caseand immediatesurgical repairwasperformed.Deathoccurinnoneof thecases.Of allthecasesof vaginaldelivery,therateof spontaneouslaborwas35%andtherateof instrumentalvaginaldeliveryratewas65%.TheApgarscoreof80neonatesoneminuteafterbirthwas above8in76and4to7in4cases.Conclusion Inpregnantwomenwho havepreviouscesareansection,vaginaldeliverycan be possiblewhenthereareindicationswithoutcontraindications.
出处
《第一军医大学学报》
CSCD
北大核心
2002年第2期154-155,共2页
Journal of First Military Medical University
