剖宫产术后再次妊娠分娩方式的探讨

【摘要】 目的:探讨剖宫产术后再次妊娠分娩方式的选择以及对母婴的影响。方法:对200例剖宫产术后再次妊娠者的分娩方式及母婴并发症进行回顾性分析。结果:200例剖宫产术后再次妊娠的孕妇,直接行剖宫产的34例;166例行阴道试产;166例阴道试产的产妇中试产成功117例,成功率为70.5%,其余49例试产失败改剖宫产;阴道试产组产妇的出血量、住院费用以及住院时间等均显著低于剖宫产组产妇(P<0.05);阴道试产失败组的先兆子宫破裂、新生儿窒息的发生率以及住院时间和费用等明显高于试产成功组。结论:剖宫产史不是再次剖宫产的绝对指征,无试产禁忌的孕妇,只要有试产条件,阴道分娩仍然是安全、有效、经济的分娩方式。更多还原

【Abstract】 Objective:To investigate the selection and influence of parturition modality for the secondary delivery gravidas after cesarean section.Method:The clinical data of 200 secondary delivery gravidas which had been parturited by cesarean section before were enrolled and analyzed retrospectively.Results:In the 200 gravidas,34 cases were delivered by cesarean section and 166 were delivered by vaginal delivery.117 gravidas delivered successfully in vaginal delivery group and the achievement ratio was 70.5%.The haemorrhage volume,length of stay and cost of hospitalization in vaginal delivery group were all lower than cesarean section group significantly(P < 0.05).The incidence rate of threatened uterine rupture and neonatal asphyxia and cost of hospitalization in failed vaginal delivery group were all higher than blest vaginal delivery group(P < 0.05).Conclusion:Cesarean section is not the absolute indication of secondary cesarean section.Vaginal delivery is still a safe,effective and economic parturition modality for the secondary delivery gravidas ifcondition permission.更多还原