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目的:分析剖宫产再孕经阴道分娩的可行性。方法:回顾性分析我院2005年1月-2010年12月来收治剖宫产再孕产妇再次妊娠分娩40例的病例资料。结果:40例剖宫产再孕产妇中再次剖宫产30例,进行经阴道分娩10例,分娩成功9例,成功率90.0%,分娩失败1例改行剖宫产。经阴道分娩与再次剖宫产出血量分别为(100.5±14.1)mL和(385.5±25.4)mL,平均住院天数分别为(6.8±1.2)d和(8.8±1.4)d。显示再次剖宫产的分娩出血量和住院天数都明显多于经阴道分娩组(P<0.05)。结论:有剖宫产经历的孕产妇再次妊娠时不必过于担忧母子的健康,根据自身情况合理选择分娩方式,而经阴道分娩也是可行有效的。
Objective: To analyze the feasibility of vaginal delivery after cesarean section. Methods: A retrospective analysis of our hospital from January 2005 -2010 in December to cesarean section and then pregnant women again pregnancy delivery 40 cases of the case data. Results: 40 cesarean section re-cesarean section again in 30 cases, vaginal delivery in 10 cases, 9 cases of successful delivery, the success rate of 90.0%, failed delivery of 1 case of cesarean section. The vaginal delivery and cesarean section bleeding again were (100.5 ± 14.1) mL and (385.5 ± 25.4) mL, respectively, with a mean length of hospital stay of (6.8 ± 1.2) days and (8.8 ± 1.4) days, respectively. Showed the second cesarean section of childbirth and hospitalization days were significantly more than vaginal delivery group (P <0.05). CONCLUSION: Pregnant women with cesarean section should not have to worry too much about the health of their mother and child when they are pregnant again. It is feasible and effective to choose the mode of delivery according to their own circumstances.