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目的:通过对剖宫产术后再次妊娠分娩方式选择的分析,为降低再次剖宫产率寻求依据。方法:对该院近年来收治的118例剖宫产术后再次妊娠产妇临床资料进行回顾性分析。结果:118例孕妇有29例选择阴道试产,19例成功,成功率65.52%,再次剖宫产分娩99例,再次剖宫产率83.90%。与再次剖宫产组相比阴道分娩组产后出血量少,住院时间短,费用低,差异有统计学意义(P<0.05);新生儿窒息发生率差异无统计学意义(P>0.05)。结论:剖宫产术后再次妊娠分娩并非剖宫产绝对指征,对符合条件的孕妇可以在严密监护下阴道试产。
OBJECTIVE: To find out the basis for reducing the rate of cesarean section again by analyzing the choice of pregnancy mode after cesarean section. Methods: A retrospective analysis was performed on the clinical data of 118 pregnant women after cesarean section admitted to the hospital in recent years. Results: Among 118 pregnant women, 29 cases were selected for vaginal trial, 19 cases were successful, the success rate was 65.52%, 99 cases were delivered by cesarean section again, and the rate of cesarean section was again 83.90%. Compared with the second cesarean section, vaginal delivery group had less postpartum blood loss, shorter hospital stay and lower cost, with significant difference (P <0.05). There was no significant difference in neonatal asphyxia (P> 0.05). CONCLUSIONS: Reproductive pregnancy after cesarean section is not an absolute indication of cesarean section. Pregnant women who meet the criteria can undergo vaginal trial production under close supervision.