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目的 探讨剖宫后再次妊娠的分娩方法。方法 记录 13 8例在我科待产的有剖宫产史孕妇的前次手术时间、手术指征、手术方法、新生儿体重、手术中、手术后情况、B超检查子宫疤痕情况 ,本次妊娠经过、分娩方式、手术指征 ,分析了影响阴道分娩的相关因素。结果 13 8例中有 62例再次剖宫产 ,占 44 .92 %,76例阴道试产 ,占 5 5 .0 8%,其中 49例阴道分娩成功 ,占 64 .48%。认为剖宫产史孕妇在前次剖宫产指征不存在的情况下阴道试产成功的机会和正常孕妇相似。结论 合理选择病例 ,大部分剖宫产史孕妇可以在严密监护下成功阴道分娩
Objective To explore the method of delivery for the second pregnancy after cesarean section. Methods A total of 138 cases of pregnant women who had a history of cesarean section in our hospital were recorded. The time of the last operation, operation indications, surgical methods, weight of neonates, intraoperative and postoperative conditions, B-ultrasound examination of uterine scar, After, mode of delivery, surgical indications, analysis of the impact of vaginal delivery related factors. RESULTS: Of 128 cases, 62 cases were again cesarean, accounting for 44.92%. 76 cases were vaginal trial, accounting for 55.08%, of which 49 cases were vaginal delivery, accounting for 64.48%. That the history of cesarean section pregnant women in the previous cesarean section indications do not exist, the chances of successful vaginal trial and normal pregnant women similar. Conclusion A reasonable choice of cases, most of the history of cesarean section pregnant women can be successfully under the supervision of vaginal delivery