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目的:探讨剖宫产后再次妊娠的分娩方式及结局。方法:对2 751例剖宫产后再次妊娠孕妇的分娩结局进行回顾性分析。结果:2 751例剖宫产后再次妊娠孕妇选择再次剖宫产2 152例,占同期剖宫产总数(5 581例)的49.29%。阴道试产713例,599例成功阴道分娩,阴道分娩成功率84.01%。结论:剖宫产史是再次妊娠行剖宫产的主要手术指征,但选择合适病例给予阴道试产是安全可行的,并可降低再次手术给患者带来的各种风险和并发症,提高自然分娩率。
Objective: To investigate the mode of delivery and outcome of second pregnancy after cesarean section. Methods: A retrospective analysis was performed on the delivery outcomes of 2 751 pregnant women after cesarean section. Results: A total of 2 751 pregnant women after cesarean section chose cesarean section again, which accounted for 49.29% of the total number of cesarean section (5881 cases) in the same period. 713 cases of vaginal trial, 599 cases of successful vaginal delivery, vaginal delivery success rate of 84.01%. Conclusion: The history of cesarean section is the main surgical indications for cesarean section in the second trimester of pregnancy. However, it is safe and feasible to choose the appropriate cases for vaginal trial, which can reduce the risks and complications caused by reoperation Natural delivery rate.