剖宫产术后再次妊娠选择阴道分娩的可行性临床分析  

Clinical analysis on feasibility of vaginal delivery in re-pregnancy after cesarean section

作　　者：彭思苹 张兵[1] 黄秋虹[1] 黎丹[1] 

机构地区：[1]广东省佛山市南海区第六人民医院,528200

出　　处：《中国现代药物应用》2017年第1期196-198,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨分析剖宫产术后再次妊娠选择阴道分娩的可行性。方法 80例剖宫产术后再次妊娠的产妇作为试验组,80例无高危风险、无剖宫产指征的初产妇作为对照组,两组均先接受阴道试产,若失败则中转剖宫产,对两组进行回顾性临床分析,比较两组总产程时间、产后出血量、产后住院时间及分娩结果。结果试验组总产程时间(11.43±1.25)h长于对照组(9.28±1.61)h,差异具有统计学意义(P<0.01);两组产后出血量[(180.80±30.02)ml VS(179.54±29.16)ml]及产后住院时间[(4.45±2.64)d VS(3.92±1.75)d]比较差异均无统计学意义(P>0.05)。两组阴道分娩成功率(81.25%VS 83.75%)及母婴存活率(100.00%VS 100.00%)比较差异均无统计学意义(P>0.05)。结论只要准确掌握了瘢痕子宫阴道分娩的适应证和禁忌证,对剖宫产术后再次妊娠的孕妇而言,经阴道分娩是完全可行的,且安全可靠,值得推广。Objective To explore feasibility of vaginal delivery in re-pregnancy after cesarean section. Methods A total of 80 maternal women with re-pregnancy after cesarean section named as experimental group, and 80 primipara without high risk and indication of cesarean section named as control group. Both groups received vaginal trial production first and transfer to cesarean section if fault. Comparison were made on total duration time of labor, postoperative bleeding volume, postoperative hospital stay time and labor outcome. Results The experimental group had longer total duration time of labor as（11.43±1.25）h than（9.28±1.61）h in the control group, and the difference had statistical significance（P〈0.01）. Both groups had no statistically significant difference in postoperative bleeding volume [（180.80±30.02）ml VS（179.54±29.16）ml] and postoperative hospital stay time[（4.45±2.64）d VS（3.92±1.75）d]（P〉0.05）. Both groups had no statistically significant difference in success rate of vaginal delivery（81.25% VS 83.75%） and survival rate of maternal and infants（100.00% VS 100.00%）（P〉0.05）. Conclusion Vaginal delivery is totally feasible for-pregnant women after cesarean section, as long as grasp the indication and contraindication accurately. This method is also safe and reliable and worth promotion.

关 键 词：剖宫产 术后 再次妊娠 阴道分娩 

分 类 号：R714[医药卫生—妇产科学]