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目的探讨剖宫产术后再次妊娠分娩的方式,为再次妊娠孕妇选择更适合和安全有效的分娩方式提供临床依据。方法对剖宫产术后再次妊娠孕妇的分娩方式、分娩结局及母婴并发症进行回顾性分析。结果 280例中,择期剖宫产224例,阴道试产56例,有46例试产成功。剖宫产术后阴道分娩组较非瘢痕子宫阴道分娩组出血量高;子宫破裂、新生儿窒息发生率比较,差异无统计学意义;再次剖宫产组的出血量和术中出血发生率明显高于首次剖宫产组。结论剖宫产术后再次妊娠分娩并非是行剖宫产术的绝对指征,符合试产条件者在严密监护下充分阴道试产,可减少手术并发症,降低剖宫产率。
Objective To explore the way of pregnancy after childbirth again after cesarean section and to provide a clinical basis for selecting more suitable and safe and effective mode of delivery for pregnant women. Methods Reproductive methods, delivery outcomes and maternal-infant complications of pregnant women after cesarean section were analyzed retrospectively. Results Among the 280 cases, 224 cases were elective cesarean section, 56 cases were vaginal trial, and 46 cases were successfully trial-produced. There was no significant difference in the incidence of uterine rupture and neonatal asphyxia between the vaginal delivery group after cesarean section and the non-scarring vaginal delivery group. The incidence of bleeding and intraoperative bleeding again in the cesarean section group was significantly higher Higher than the first cesarean section. Conclusion Reproductive pregnancy after cesarean delivery is not an absolute indication of cesarean section. Patients who meet the trial production conditions should be given adequate vaginal trial under close supervision, which can reduce the complications and reduce the rate of cesarean section.