目的探讨剖宫产术后再次妊娠分娩时机及分娩方式。方法选取2013年4月至2015年5月辽宁电力中心医院收治的126例剖宫产术后再次妊娠产妇作为研究对象,按分娩方式将其分为两组,将62例成功阴道分娩产妇作为对照组,64例行剖宫产分娩产妇为观察组,将观察组产妇根据手术时机分为未进至产程组(36例)与进至产程组(28例)。统计对照组与观察组产妇产后出血、住院时间、产后感染及新生儿窒息情况,并对剖宫产产妇及新生儿相关情况进行分析。结果观察组产妇产后出血量明显多于对照组,住院时间明显长于对照组,产后感染率及新生儿窒息率均明显高于对照组,差异均有统计学意义(均P<0.05);进至产程组产妇产后出血量明显少于未进至产程组,手术时间明显短于未进至产程组,产后感染发生率明显低于未进至产程组,差异均有统计学意义(均P<0.05)。结论剖腹产术后再次妊娠产妇分娩时,应结合产妇情况于密切监测下展开阴道试产,以改善其者预后,若需再次剖宫产应掌握好手术时机。 Objective To investigate the timing of childbirth and delivery after cesarean section. Methods A total of 126 pregnant women after cesarean section were recruited from April 2013 to May 2015 in Liaoning Power Central Hospital and divided into two groups according to mode of delivery. Sixty-two successful vaginal delivery women were used as control In the group of 64 cesarean delivery women, the observation group was divided into two groups according to the operation time: 36 in the labor group and 28 in the labor group. Statistics control group and observation group maternal postpartum hemorrhage, hospital stay, postpartum infection and neonatal asphyxia, and cesarean section maternal and newborn related situation analysis. Results The postpartum hemorrhage in the observation group was significantly more than that in the control group, and the length of hospital stay was significantly longer than that in the control group. The postpartum infection rate and neonatal asphyxia rate were significantly higher than those in the control group (all P <0.05) In the labor group, the postpartum hemorrhage was significantly less than that of the non-labor group, the operation time was significantly shorter than that of the non-labor group, and the incidence of postpartum infection was significantly lower than that of the non-labor group (all P <0.05 ). Conclusion Reproductive pregnancy after cesarean delivery of labor should be combined with maternal conditions in the close monitoring vaginal trial production to improve their prognosis, if the need for cesarean section again should grasp the timing of surgery.