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目的分析剖宫产术后再次妊娠不同分娩方式的临床效果。方法回顾性分析2013年12月至2015年12月收治的152例剖宫产术后再次妊娠产妇的临床资料,根据分娩方式不同分为对照组(剖宫产)及观察组(阴道试产),各76例。将两组分娩结局及住院指标进行分析并对比。结果观察组产妇出血量、产程与对照组相比较低,差异显著(P<0.05);观察组新生儿出生体重及与新生儿Apgar评分对照组相比,无明显差异(P>0.05);观察组产妇产后发热、切口愈合不良、出血及恶露过长发生率及住院时间、住院费用与对照组相比均明显较低,差异显著(P<0.05)。结论剖宫产术后再次妊娠产妇选择阴道试产,可明显减少产后并发症发生,减少经济压力,临床应建议具备阴道试产条件产妇选择阴道分娩,以降低社会剖宫产率。
Objective To analyze the clinical effect of different modes of delivery after cesarean section. Methods The clinical data of 152 pregnant women after cesarean section were retrospectively analyzed from December 2013 to December 2015. According to different modes of delivery, they were divided into control group (cesarean section) and observation group (vaginal trial production) , Each 76 cases. The two groups of delivery outcomes and hospitalization indicators were analyzed and compared. Results Compared with the control group, the amount of hemorrhage and labor in observation group was lower than that in control group (P <0.05). There was no significant difference in newborns’ birth weight and neonatal Apgar score between observation group and control group (P> 0.05) Group maternal postpartum fever, incision healing, the incidence of bleeding and lochia is too long and hospital stay, hospitalization costs were significantly lower than the control group, the difference was significant (P <0.05). Conclusion Reproductive pregnancy of pregnant women after cesarean section choose vaginal trial production can significantly reduce the incidence of postpartum complications and reduce economic stress, clinical vaginal trial should be recommended for vaginal delivery maternal vaginal delivery to reduce the rate of cesarean section.