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目的探讨剖宫产术后再次足月妊娠阴道分娩特点及安全性。方法选择52例剖宫产再次足月妊娠者,根据自愿选择方式其中42例列为再次剖宫产组,23例列为阴道分娩组,对2组剖宫产再次足月妊娠患者临床资料进行回顾性分析。结果剖宫产再次足月妊娠患者经阴道分娩产程、出血量、并发症发生率、术后住院时间均显著少于再次剖宫产患者,差异有统计学意义(P<0.05);2组新生儿数量、性别比例、Apgar评分情况对比结果差异无统计学意义(P>0.05)。结论剖宫产再次足月妊娠患者若自身条件允许可尽量采用阴道分娩,利于患者分娩后身体尽快恢复,保障母婴生活质量及生命安全。
Objective To investigate the characteristics and safety of vaginal delivery after full-term pregnancy after cesarean section. Methods Fifty-two cesarean section patients with full-term pregnancy were selected again. Among them, 42 cases were cesarean section group and 23 cases were vaginal delivery group according to the voluntary selection method. The clinical data of two full-term pregnancy patients Retrospective analysis. Results Cesarean section again full-term pregnancy transvaginal delivery labor, the amount of bleeding, the incidence of complications, postoperative hospital stay were significantly less than the second cesarean section, the difference was statistically significant (P <0.05); two groups of freshmen There was no significant difference in the number of children, sex ratio, Apgar score (P> 0.05). Conclusion Cesarean section patients with full-term pregnancy again if their own conditions allow the use of vaginal delivery, which will help patients recover as soon as possible after childbirth to ensure the quality of life and safety of mother and child.