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目的探讨剖宫产术后再次妊娠经阴道分娩(vaginal birth after cesarean,VBAC)的可行性。方法选取2010~2012年江苏省海门市中医院98例VBAC孕妇为观察组,选取同期住院的96例初产妇为对照组,分析比较两组产妇在分娩结局、围产儿结局、并发症上的差异。结果观察组分娩成功率[57.1%(56/98)]、分娩时间(9.9±0.6)h、并发症发生率[7.1%(7/98)]、产时出血量(281.9±13.4)m L、新生儿窒息发生率[2.0%(2/98)]、产妇满意率[96.9%(95/98)]等方面与对照组[分别为59.4%(57/96)、(9.7±0.7)h、5.2%(5/96)、(284.5±12.3)m L、3.1%(3/96)、94.8%(91/96)]比较,差异均无统计学意义(P>0.05)。结论严格按照适应证选择,剖宫产术后瘢痕子宫再次妊娠经阴道分娩是可行的。
Objective To investigate the feasibility of vaginal birth after cesarean (VBAC) after cesarean section. Methods Ninety-eight pregnant women with VBAC from Haimen Hospital of Traditional Chinese Medicine in Jiangsu Province from 2010 to 2012 were selected as the observation group. 96 cases of primipara inpatients in the same period were selected as the control group. The differences in delivery outcome, perinatal outcome and complications between the two groups were analyzed . Results The success rate of delivery (57.1% (56/98)], delivery time (9.9 ± 0.6) h, incidence of complications [7.1% (7/98)], blood loss during labor (281.9 ± 13.4) m L , Neonatal asphyxia [2.0% (2/98)], maternal satisfaction rate [96.9% (95/98)], compared with control group [59.4% (57/96) , 5.2% (5/96), (284.5 ± 12.3) m L, 3.1% (3/96), 94.8% (91/96)]. There was no significant difference between the two groups (P> 0.05). Conclusions In strict accordance with the indications choice, cesarean scar pregnancy after uterine vaginal delivery is feasible.