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目的探讨剖宫产术后再次妊娠的最佳分娩方式,进一步提高产科质量。方法法对2009年5月至2011年5月我院350例剖宫产术后再妊娠的孕妇根据具体情况分为重复剖宫产及经阴道试产两组。对分娩方式、子宫破裂、出血、新生儿窒息等情况进行回顾性分析。结果 128例阴道试产中85例试产成功,试产成功率为66.4%。重复剖宫产组较经阴道分娩组出血量高,差异有统计学意义(P<0.05),而子宫破裂、新生儿窒息发生率无明显差异(P>0.05)。结论剖宫产术后再妊娠分娩并非是行剖宫产的绝对指征,我们要严格把握剖宫产术后再妊娠经阴道分娩的适应证和禁忌证,在严密监护下,阴道试产是切实可行的。
Objective To explore the best mode of delivery for the second pregnancy after cesarean section and to improve the quality of obstetrics. Method of law May 2009 to May 2011 in our hospital 350 cases of pregnant women after cesarean pregnancy according to the specific circumstances are divided into repeated cesarean section and vaginal trial two groups. The mode of delivery, uterine rupture, bleeding, neonatal asphyxia and so on were retrospectively analyzed. Results In the 128 vaginal trials, 85 cases were successfully trial-produced, with a trial-success rate of 66.4%. The blood loss in repeated cesarean section group was significantly higher than that in vaginal delivery group, the difference was statistically significant (P <0.05). However, the incidence of uterine rupture and neonatal asphyxia had no significant difference (P> 0.05). Conclusion Cesarean section postpartum pregnancy delivery is not an absolute indication of cesarean section, we must strictly follow the indications and contraindications of vaginal delivery of cesarean section after pregnancy, under strict supervision, the vaginal trial is Practicable.