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目的:探讨剖宫产术后再次妊娠分娩方式的选择。方法:对271例剖宫产术后再次妊娠孕妇的分娩方式、分娩结局进行回顾性分析。结果:36例孕妇全面评估后进行阴道试产,成功21例,试产成功率58.3%。其余235例行再次剖宫产术,手术产率86.7%。前次剖宫产孕妇第二胎自然分娩产后出血量、先兆子宫破裂发生率与同期非瘢痕子宫阴道分娩孕妇相比,无统计学差异,但再次行剖宫产术的产妇产后出血量明显多于剖宫产后阴道分娩产妇的出血量。结论:如果进行正确产前评估,剖宫产术后再次妊娠可以进行阴道分娩试产。
Objective: To explore the choice of delivery mode after cesarean section. Methods: 271 pregnant women after cesarean section again pregnancy delivery mode, delivery outcomes were analyzed retrospectively. Results: 36 cases of pregnant women after a comprehensive assessment of the vaginal trial, the success of 21 cases, trial success rate of 58.3%. The remaining 235 routine cesarean section again, the surgical yield was 86.7%. The previous cesarean section of the second child spontaneous childbirth postpartum hemorrhage, the incidence of threatened uterine rupture with the same period of non-scarring uterus vaginal delivery pregnant women compared, no significant difference, but again cesarean section maternal postpartum hemorrhage was significantly more Vaginal delivery after cesarean delivery of maternal bleeding. Conclusion: If the correct prenatal assessment, pregnancy after cesarean section can be vaginal delivery trial.