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目的:重点研究和探讨剖宫产后再次妊娠的方式选择及临床妊娠效果。方法:利用回顾性分析的方法研究和比较对我院于2011年1月1日-2013年11月31日期间收治的84例剖宫产后再次妊娠产妇的临床资料进行回顾性分析。将患者随机分为2组,对照组总计42例采用剖宫产再次妊娠以剖宫产方式结束妊娠;观察组总计42例采用剖宫产再次妊娠以阴道分娩方式结束妊娠,记录分娩过程中的相关指标,然后将2组数据结果进行分析,对两种分娩方式、分娩成功率、母子存活率、并发症等情况进行比较。结果:对照组全部分娩成功,观察组分娩成功34(80.95%),分娩失败8例(19.05%),失败后均采取剖腹产成功分娩;两组母子存活率都为100%;对照组分娩成功率好于观察组(p<0.05),两组母子存活率无差异(P>0.05)。观察组平均出血量、新生儿Apgar评分以及住院时间均好于对照组(p<0.05)。对照组产程时间比观察组短(p<0.05)。观察组并发症发生率高于对照组(p<0.05)。结论:剖宫产后再次妊娠产妇可以选择经阴道分娩方式,具有良好的临床妊娠效果,并且能够显著减少并发症的发生,有效减轻产妇的分娩痛苦,确保母子平安,值得临床进一步借鉴和推广。
Objective: To focus on the study and explore cesarean section after pregnancy choice of pregnancy and clinical pregnancy effect. Methods: Retrospective analysis was used to study and compare the clinical data of 84 pregnant women with cesarean postpartum pregnancy who were treated in our hospital from January 1, 2011 to November 31, 2013. The patients were randomly divided into two groups, a control group, a total of 42 cases of cesarean section by cesarean section to re-pregnancy termination of pregnancy; a total of 42 cases observed the use of cesarean section to re-pregnancy by vaginal delivery end of pregnancy, record delivery process Related indicators, and then two sets of data were analyzed, the two modes of delivery, childbirth success rate, mother and child survival rates, complications, etc. were compared. Results: All the labor in the control group was successful. The delivery rate in the observation group was 34 (80.95%), and the delivery failed in 8 patients (19.05%). All the patients in the control group were delivered successfully by caesarean section. The survival rates of both groups were 100% Better than the observation group (p <0.05), there was no difference between the two groups (P> 0.05). The average amount of bleeding in the observation group, neonatal Apgar score and hospital stay were better than the control group (p <0.05). Control group shorter labor hours than the observation group (p <0.05). The complication rate in observation group was higher than that in control group (p <0.05). Conclusion: Maternal pregnancy after cesarean section can choose trans vaginal delivery mode, with good clinical pregnancy effect, and can significantly reduce the incidence of complications, effectively reduce the pain of childbirth and ensure the mother and child safety, it is worth further clinical reference and promotion.