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目的:分析行剖宫产手术产妇再次妊娠的分娩方式选择问题,为临床产科有效降低再次剖宫产发生率提供支持条件。方法:择取2015年02月~2017年02月我院产科收治的剖宫产后再次妊娠产妇152例作为本次研究对象,其中70例行阴道试产分娩产妇构成阴道试产组,82例行再次剖宫产分娩产妇构成再次剖宫产组,观察比较两组产妇的产时出血量、住院持续时间,以及并发症发生状况。结果:对于剖宫产术后再次妊娠产妇而言,阴道试产组的产时出血量、住院持续时间,以及并发症发生率均显著低于再次剖宫产组,组间数据差异具有统计学意义(P<0.05)。结论:剖宫产术后产妇再次妊娠,不是行再次剖宫产手术的必要手术指征,在开展严格生理状态检测控制基础上行阴道试产,能够显著减少产妇的产时出血量,缩短产妇的持续住院时间,降低并发症发生率,值得临床实践中予以推广运用。
Objective: To analyze the choice of mode of delivery for cesarean section maternal re-pregnancy, and provide supportive conditions for clinical maternity to effectively reduce the incidence of cesarean section. Methods: Choose 152 cases of second pregnancy after cesarean section admitted to obstetrics and gynecology from February 2015 to February 2017 in our hospital as the object of this study. Among them, 70 cases received vaginal trial and childbirth to form vaginal trial group and 82 cases Cesarean section again cesarean delivery childbirth constitute cesarean section again to observe and compare the two groups of maternal labor-time bleeding, duration of hospitalization, and complications. Results: For pregnant women after cesarean section again, the amount of labor-induced bleeding, duration of hospitalization and complication in the vaginal trial group were significantly lower than those in the second cesarean section group. There was statistical difference between the two groups Significance (P <0.05). Conclusion: Maternal pregnancy after cesarean section is not the necessary surgical indications for cesarean section, and vaginal trial production can be performed on the basis of strict physiological status testing and control, which can significantly reduce the amount of maternal blood loss and shorten the maternal Continuous hospitalization, reduce the incidence of complications, it is worth to promote the use of clinical practice.