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目的:分析首次剖宫产后再次妊娠产妇引导分娩的安全性与可行性。方法:选取2015年3月至2016年12月于我院分娩的首次剖宫产再次妊娠产妇88例,根据孕妇具体情况、意愿分为两组,其中48例实施剖宫产的孕妇为对照组,40例行阴道分娩的孕妇为观察组,比较两组相关情况。结果:观察组产妇产后出血量、住院时间均明显少于对照组(P<0.05),两组产妇产褥感染、新生儿窒息、吸入性肺炎发生率组间无明显差异(P>0.05)。结论:对于首次剖宫产后再次妊娠产妇,应在严格把握阴道分娩指征、尊重患者意愿的基础上,适当引导其实施阴道分娩,减少分娩后不良反应。
Objective: To analyze the safety and feasibility of maternity-led labor after the first cesarean section. Methods: From March 2015 to December 2016, 88 pregnant women of the first cesarean section who gave birth in our hospital were enrolled. According to the specific conditions of pregnant women, the intention was divided into two groups. Among them, 48 pregnant women who underwent cesarean section were the control group , 40 cases of vaginal delivery of pregnant women as the observation group, the two groups were compared. Results: The postpartum hemorrhage and hospital stay in the observation group were significantly less than those in the control group (P <0.05). There was no significant difference between the two groups in the incidence of puerperal infection, neonatal asphyxia and aspiration pneumonia (P> 0.05) . Conclusion: For the first time pregnant women after cesarean section, we should strictly control the indication of vaginal delivery and respect the wishes of patients, and properly guide the vaginal delivery to reduce the adverse reactions after delivery.