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目的探讨剖宫产术后再次妊娠阴道试产的临床效果。方法选择2007年1月至2011年2月70例剖宫产术后再次妊娠阴道分娩产妇作为研究对象,按照1∶1比例随机抽取同期初产妇阴道试产作为对照研究人群,比较两组产妇产时出血量、产程、Apgar评分、新生儿窒息差异。结果 70例剖宫产术后再次妊娠阴道试产成功54例,成功率77.14%;54例剖宫产后阴道试产成功的产时出血量(151.42±28.41)mL、产程(9.23±1.29)h、新生儿Apgar评分(9.23±0.19)、新生儿窒息1.85%,初产妇阴道分娩分别为(146.45±29.52)mL、(9.02±1.31)h、(9.18±0.21)、1.43%,两组比较均无显著性差异(P>0.05)。结论宫产术后再次妊娠分娩,试产是一个可选择的措施,阴道试产与剖宫产相比利多弊少,对于估计可能阴道分娩的孕妇应提供阴道试产机会。
Objective To investigate the clinical effect of re-pregnancy vaginal trial after cesarean section. Methods From January 2007 to February 2011, 70 pregnant women undergoing vaginal delivery after cesarean section were selected as the study subjects. According to the ratio of 1: 1, vaginal trial production of the first trimester primipara was used as the control study population. The amount of bleeding during labor, labor, Apgar score, neonatal asphyxia differences. Results In the 70 cases of vaginal pregnancy after re-pregnancy, 54 cases were succeeded by vaginal trial, with a success rate of 77.14%. 54 cases of postpartum vaginal delivery had a production-time bleeding of (151.42 ± 28.41) mL and labor (9.23 ± 1.29) h, neonatal Apgar score (9.23 ± 0.19), neonatal asphyxia 1.85%, primiparous vaginal delivery were (146.45 ± 29.52) mL, (9.02 ± 1.31) h, (9.18 ± 0.21), 1.43% No significant difference (P> 0.05). Conclusions After uterine operation, pregnancy and childbirth are again. Trial production is an optional measure. Compared with cesarean delivery, vaginal trial production has fewer advantages and disadvantages, and vaginal trial production should be provided for pregnant women who are estimated to have vaginal delivery.