剖宫产术后再次妊娠不同分娩方式的临床效果比较  

Comparison the Clinical Effect of after Cesarean Section Pregnancy Again Different Delivery Way

作　　者：董瑞卿[1] 

机构地区：[1]湖北省武汉市武汉科技大学附属天佑医院妇产科,武汉430064

出　　处：《中国医药导刊》2013年第8期1342-1342,1344,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：比较剖宫产术后再次妊娠不同分娩方式,探讨阴道分娩的可行性及注意事项。方法：选择2007年1月-2010年12月剖宫产术后再次妊娠孕妇220例作为研究对象,比较剖宫产术后再次妊娠与同期初产妇阴道分娩及剖宫产分娩结局的差异。结果：再次妊娠孕妇220例中实施阴道分娩50例（22.73%）,虽然较初产妇阴道分娩产时出血量、产程长,新生儿Apgar评分低、窒息多,但无统计学差异（P〉0.05）。与初产妇比较170例剖宫产术后再次剖宫产出血量多、手术时间长、切口甲级愈合低、住院时间长（P〈0.05）。结论：对剖宫产术后再次妊娠孕妇选择阴道试产利大于弊,应尽可能提供阴道试产机会,注意规范管理,保障母婴安全和健康。Objective：Comparative pregnancy laboratory pregnancy again different delivery way,explore the feasibility of vaginal delivery and the matters needing attention.Methods：Choose January 2007~December 2010 again after cesarean section 220 cases of pregnancy pregnant women as the research object,after cesarean section is again with the pregnancy primipara vaginal delivery and cesarean section delivery end difference.Results：Once again the pregnancy pregnant women in 220 cases of implementation of vaginal delivery 50 cases（22.73%）,although more primipara vaginal delivery intrapartum amount of bleeding,lasting long and neonatal Apgar score low,asphyxia,but no statistical difference（P0.05）.Compared with primipara 170 cases of cesarean section again after cesarean section was the amount of bleeding,surgical time is long,incision healing of serie a low,be in hospital for a long time（P0.05）.Conclusion：After cesarean section to again pregnancy pregnant women choose the vaginal trial-produce more good than harm,should as far as possible to provide vaginal trial-produce opportunities,pay attention to management,ensure maternal and child safety and health.

关 键 词：剖宫产术后 妊娠 阴道分娩 可行性 

分 类 号：R719.8[医药卫生—妇产科学]