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目的探讨剖宫产后再次妊娠孕妇阴道分娩的临床方法和效果。方法选取该院2015年2月-2016年2月收治的200例剖宫产再次妊娠孕妇为研究对象,根据分娩方式分为观察组(70例)与对照组(130例),观察组经阴道分娩,对照组再次行剖宫产。分析两组孕妇分娩情况。结果观察组成功分娩63例(90.00%),其余7例产妇中转为剖宫产完成分娩;观察组产妇围生期出血量为(162.3±31.3)ml,新生儿阿氏评分为(8.5±1.1)分,与对照组的(190.5±33.9)ml、(8.6±1.0)分比较,差异无统计学意义(P>0.05);观察组产妇住院时间为(4.0±0.9)d,费用为(4 123.2±342.3)元,低于对照组的(7.9±1.7)d、(5 228.8±789.0)元(P<0.05);两组产褥感染、吸入性肺炎、新生儿窒息及颅内出血等并发症发生率比较,差异无统计学意义(P>0.05)。结论剖宫产再次妊娠并非绝对阴道分娩禁忌证,密切观察产程,掌握阴道分娩适应证,科学及时地处理难产等问题,可确保母婴安全,获得良好的妊娠结局。
Objective To investigate the clinical methods and effects of vaginal delivery for pregnant women after cesarean section. Methods Two hundred and seventy pregnant women of cesarean section who were admitted to our hospital from February 2015 to February 2016 were enrolled in this study. According to mode of delivery, they were divided into observation group (70 cases) and control group (130 cases) Childbirth, control group cesarean section again. Analysis of two groups of pregnant women labor situation. Results In the observation group, 63 cases (90.00%) were delivered successfully and the remaining 7 women were transferred to cesarean section for delivery. The perinatal bleeding volume in the observation group was (162.3 ± 31.3) ml and that in the neonates was (8.5 ± 1.1) ), There was no significant difference between the control group (190.5 ± 33.9) ml and (8.6 ± 1.0) points (P> 0.05). The length of hospital stay in the observation group was (4.0 ± 0.9) days and the cost was (4 123.2 ± 342.3), lower than the control group (7.9 ± 1.7) d, (5 228.8 ± 789.0) yuan (P <0.05); complications such as puerperal infection, aspiration pneumonia, neonatal asphyxia and intracranial hemorrhage The incidence was no significant difference (P> 0.05). Conclusion Re-pregnancy of cesarean section is not the absolute contraindication of vaginal delivery, close observation of labor, to master indications of vaginal delivery, scientific and timely treatment of dystocia and other issues, to ensure the safety of mother and child, to obtain a good pregnancy outcome.