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目的:对剖宫产后再次生产的方式进行探讨。方法:选择在本院剖宫产后再次怀孕的产妇120例,对其分娩前后的临床资料进行回顾分析。结果:120例孕妇中有45例孕妇进行阴道试产,其中试产成功为37例,成功率为82.22%;再次剖宫产的有83例。阴道试产和二次剖宫产的产妇在住院天数、产后出血量、产褥感染率等方面存在显著差异,试产产妇的产后恢复方面明显优于再次剖宫产的产妇。结论:在剖宫产后再次生产时进行阴道试产在临床上是可行的,合理掌握产妇剖宫产后再次怀孕的阴道试产临床指征,改变产妇认识,从而提高阴道试产的成功率。
Objective: To explore the ways of producing again after cesarean section. Methods: A total of 120 pregnant women who were pregnant after cesarean section were selected and their clinical data before and after labor were retrospectively analyzed. Results: Among the 120 pregnant women, 45 cases of pregnant women were vaginal trial production, of which 37 cases were successful trial production, the success rate was 82.22%; again cesarean section in 83 cases. Vaginal trial and second cesarean section in the number of days of hospitalization, postpartum hemorrhage, the rate of puerperal infection there are significant differences, postpartum recovery of preterm labor was significantly better than the second cesarean section of the mother. Conclusion: It is practically feasible to carry out vaginal trial when cesarean section is re-produced. It is reasonable to know the clinical indications of vaginal trial of pregnant women after cesarean section, to change the knowledge of maternal, so as to improve the success rate of vaginal trial .