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目的:了解剖宫产后产妇施以阴道分娩技术的有效性。方法:选择204例因分娩而于2014年9月至2017年3月入惠阳三和医院妇产科的产妇,均曾实施剖宫产术,A组有103例接受阴道试产,其中70例阴道试产成功,选取101例直接选择再次施以剖宫产术的产妇作B组,统计两组分娩情况,进行比较。结果:A组70例住院时长(2.80±0.88)d,B组101例(6.66±2.20)d,差异具有统计学意义(P<0.05);同时A组病例恶露时间、失血量以及感染率等均比B组短或低,差异具有统计学意义(P<0.05),而两组新生儿结局比较,差异无统计学意义(P>0.05)。结论:对于曾接受剖宫产术的产妇,再次分娩时,阴道分娩表现出可行性特征,但需充分把握分娩指征。
Objective: To understand the effectiveness of vaginal delivery after maternal cesarean delivery. Methods: A total of 204 pregnant women undergoing maternity and childbirth were enrolled in the obstetrics and gynecology department of Huiyang Sanhe Hospital from September 2014 to March 2017. 103 cases in group A received vaginal trial, of which 70 Vaginal trial production was successful, select 101 cases directly re-cast cesarean section maternal choice for the B group, statistics of the two groups of childbirth, for comparison. Results: The duration of hospital stay in group A was (2.80 ± 0.88) days, in group B was 101 cases (6.66 ± 2.20) days, the difference was statistically significant (P <0.05). At the same time, the lochia time, blood loss and infection rate in group A Both were shorter or lower than those in group B, the difference was statistically significant (P <0.05). There was no significant difference in neonatal outcomes between the two groups (P> 0.05). CONCLUSIONS: For women who have undergone cesarean delivery, vaginal delivery shows viable characteristics at childbirth, but full delivery guidance is required.