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目的探讨剖宫产后妊娠再次剖宫产的母儿结局。方法将2012年10月-2014年10月在该院瘢痕子宫再次剖宫产的200名孕妇作为研究组、同期瘢痕子宫阴道分娩的89名孕妇作为对照组1、同期非瘢痕子宫剖宫产的200名孕妇作为对照组2,对比分析瘢痕子宫再次剖宫产的母儿结局。结果瘢痕子宫再次剖宫产临床指征中,无指征剖宫产率最高(30.0%);与对照组1相比,研究组孕妇的产后出血量显著增加,产后发热率和新生儿窒息率显著升高,新生儿Apgar评分显著降低,住院时间显著延长(P<0.05);与对照组2相比,研究组孕妇的产后出血量显著增加,手术时间和住院时间显著延长(P<0.05)。结论瘢痕子宫再次剖宫产的手术时间和住院时间较长,对母儿的伤害较大。
Objective To investigate the effect of cesarean section after maternal cesarean section. METHODS: A total of 200 pregnant women who underwent cesarean section again from October 2012 to October 2014 in the hospital were included in the study. 89 pregnant women with vaginal delivery of scarring during the same period as control group 1, 200 pregnant women as a control group 2, comparative analysis of cesarean scar pregnancy again. Results Cesarean section scar scar uterine cesarean section clinical indications, no indication of cesarean section rate was the highest (30.0%); compared with the control group 1, the study group pregnant women postpartum hemorrhage increased significantly, postpartum fever and neonatal asphyxia (P0.05). Compared with control group 2, the postpartum hemorrhage volume of pregnant women in study group increased significantly, and the operation time and hospitalization time significantly prolonged (P0.05) . Conclusion The cesarean scar surgery again cesarean section of the operation time and hospital stay longer, more harm to the mother and child.