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目的研究剖宫产术后产妇再次妊娠的合理分娩方式。方法对来我院住院分娩的180例剖宫产术后再次妊娠产妇的分娩方式以及母婴并发症进行研究。结果该180例剖宫产术后再次妊娠的产妇中,有140例产妇(A组)行剖宫产,40例产妇(B组)行阴道试产(其中,行阴道试产成功(C组)的有25例产妇;行阴道试产失败(D组)的有15例产妇),产妇行阴道试产的成功率为62.5%。(P<0.05)B组产妇的出血量、住院时间和住院费用差异均低于A组产妇。(P<0.05)D组产妇出现先兆子宫破裂以及胎儿窒息的发生率、出血量、住院时间和住院费用均高于C组产妇。结论有剖宫产史的产妇并非再次剖宫的指征,只要符合阴道试产的条件,就可以选择阴道试产进行分娩,是一种既经济,又安全有效的分娩方式。
Objective To study the reasonable mode of delivery of pregnant women after cesarean section. Methods 180 cases of hospital delivery in our hospital after cesarean section re-pregnant women delivery mode and maternal and child complications were studied. Results Among the 180 pregnant women after cesarean section, 140 pregnant women (group A) underwent cesarean section and 40 women (group B) underwent vaginal trial (C group ) Had 25 mothers; vaginal trial failed (group D), 15 mothers). The success rate of vaginal trial was 62.5%. (P <0.05) The B group maternal blood loss, hospitalization and hospitalization costs were lower than the A group of maternal. (P <0.05). The incidence of threatened uterine rupture and fetal asphyxia in group D was higher than that in group C (P0.05). The bleeding, hospitalization and hospitalization costs were higher in group D than in group C. Conclusion Maternal history of cesarean section is not an indication of cesarean section again. As long as it meets the requirements of vaginal trial, vaginal trial can be chosen for delivery. It is an economical and safe mode of delivery.