摘要
目的:探讨剖宫产术后再次妊娠分娩方式。方法:2012年4-5月收治剖宫产术后再次妊娠者36例,其中决定再次剖宫产14例,选择经阴道顺产22例,选择同期分娩的首次剖宫产产妇14例和首次阴道产产妇22例进行对比。分析比较各组产妇的指标情况。结果:再次剖宫产组与首次剖宫产组的产时出血量、平均手术时间、平均住院时间相比较差异具有统计学意义(P<0.05);再次阴道产组与首次阴道产组产妇产程时间、产时出血量、新生儿Apagar评分及平均住院时间相比较差异无统计学意义(P>0.05);再次剖宫产组与再次阴道产组产时出血量、平均住院时间及新生儿Apagar评分相比较差异具有统计学意义(P<0.05)。结论:剖宫产术后再次妊娠产妇分娩方式并非指定剖宫产,符合阴道产条件即可尝试阴道产,明显改善分娩质量,减少分娩风险。
Objective:To explore the way of delivery secondary pregnancy after cesarean section.Methods:36 patients with delivery secondary pregnancy after cesarean section were selected from April to May 2012,among them,who decided to re cesarean section in 14 cases,22 cases had the choice of transvaginal.We compared the first choice of cesarean section in 14 cases and 22 cases of maternal vaginal birth for the first time during the same period.We analyzed and compared of each maternal index.Results:The difference of the intrapartum hemorrhage volume,average operation time,average hospitalization time of the cesarean section group and the first cesarean section group was statistically significant(P<0.05);the difference of the labor course,prenatal hemorrhage,neonatal apagar score and the average hospitalization time of the again vaginal birth group and first vaginal delivery group was not statistically significant(P>0.05);the difference of the amount of bleeding during production,average hospitalization time and apagar score of the again cesarean section group and vaginal delivery group was statistically significant(P<0.05).Conclusion:Pregnancy after cesarean section maternal mode of delivery is not specified in cesarean section.Consistent with the vaginal birth conditions can try vaginal birth,and it can significantly improve the quality of delivery,and reduce the incidence of risk.
关键词
剖宫产
阴道产
分娩
妊娠
Cesarean section
Vaginal birth
Delivery
Pregnancy
