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目的探讨剖宫产术后再次妊娠阴道分娩的可行性。方法回顾性分析82例剖宫产术后再次妊娠行阴道分娩孕妇的临床资料,对其分娩方式、产后24 h出血量、产后住院时间、新生儿窒息率等进行比较。结果 82例剖宫产术后再次妊娠孕妇中,阴道试产成功60例(成功率为73.2%),改行剖宫产术22例(1例术中见原瘢痕处菲薄,无破裂,考虑与产程延长有关)。阴道试产产后出血量、产后住院时间优于剖宫产,差异有统计学意义(P<0.05);两种分娩方式新生儿窒息率比较,差异无统计学意义(P>0.05)。结论剖宫产术后再次妊娠符合试产标准,在严密观察产程、及时发现和处理难产情况下阴道试产是安全可行的。
Objective To investigate the feasibility of vaginal delivery after cesarean section. Methods The clinical data of 82 pregnant women who underwent vaginal delivery after cesarean section were retrospectively analyzed. The delivery methods, the amount of bleeding after 24 hours, the postpartum hospital stay, and the rate of neonatal asphyxia were compared. Results 82 pregnant women after cesarean section re-pregnancy, vaginal trial production was successful in 60 cases (success rate was 73.2%), 22 cases of cesarean section rehospitalization (1 case of the original scar see meager, no rupture, consider and Labor-related extension). The amount of postpartum vaginal bleeding, postpartum hospital stay was better than cesarean section, the difference was statistically significant (P <0.05). There was no significant difference in neonatal asphyxia between the two modes of delivery (P> 0.05). Conclusion Re-pregnancy after cesarean section accorded with trial production standard. It is feasible and safe to observe the labor process closely and find out and handle vaginal trial production timely.