疤痕子宫再次妊娠的分娩方式对母婴结局的影响  

Influence of different delivery methods on re-pregnancy after caesarean section

作　　者：王莉[1] 刘柯玲[1] 徐丽丹[1] 

机构地区：[1]深圳市宝安区人民医院妇产科,广东518000

出　　处：《齐齐哈尔医学院学报》2015年第20期2991-2992,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨不同分娩方式对剖宫产术后再次妊娠的影响。方法回顾性分析204例剖宫产术后再次妊娠分娩产妇的临床资料。分析不同分娩方式的分娩结局、分娩相关指标及新生儿结局、Apgar评分情况。结果剖宫产组产褥感染、产后大出血的发生率显著高于阴道分娩组(P<0.05);剖宫产组产时出血量、产后2h出血量及住院时间高于阴道分娩组(P<0.05);剖宫产组产程时间低于阴道分娩组(P<0.05);剖宫产组新生儿黄疸的发生率高于阴道分娩组(P<0.05)。结论行阴道分娩可以有效降低剖宫产术后再次妊娠产褥感染、产后出血、住院时间及新生儿黄疸的发生率,临床应尽量给予阴道试产的机会,以此保障母儿健康。Objective To discuss the influence of different delivery methods on re-pregnancy after Caesarean section. Methods Took retrospective analysis on the clinical data of 204 re-pregnant women after Caesarean section. Took an analysis on the delivery outcome,delivery related indexes and the outcome of newborn and ratings of Apgar of different delivery methods. Results The occurrence rates of puerperal infection and postpartum hemorrhage of the Caesarean section group are evidently higher than those of the vaginal delivery group（ P〈0. 05）; the amount of bleeding during delivery and 2h after delivery,and the hospital stays of the Caesarean section group were higher than those of the vaginal delivery group（ P〈0. 05）; the birth process time of the Caesarean section group was lower than that of the vaginal group（ P〈0. 05）; the occurrence rate of newborn jaundice of the Caesarean section group was higher than that of the vaginal delivery group（ P〈0. 05）.Conclusions Taking vaginal delivery can effectively reduce the occurrence rates of puerperal infection,postpartum hemorrhage,hospital stays and newborn jaundice for re-pregnancy after Caesarean section. Therefore,the vaginal delivery trial of labor should be considered clinically as much as possible in order to safeguard both mothers and babies.

关 键 词：分娩方式 剖宫产 再次妊娠 

分 类 号：R719.8[医药卫生—妇产科学]