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目的:探讨剖宫产术后再次妊娠的分娩方式的选择。方法:选择2012年8月～2013年7月产科收治的246例剖宫产术后再次妊娠孕妇的临床资料进行回顾性分析,按照分娩方式将以上孕妇分为经阴道分娩组和再次剖宫产组,并对2组的分娩结局、产后出血量、新生儿窒息率等母婴并发症进行分析。结果:246例瘢痕子宫孕妇中,经阴道分娩36例,再次剖宫产210例,经阴道分娩组孕妇产后出血量、住院时间及住院费用均低于再次剖宫产组,新生儿窒息率则无明显统计学意义。结论:对于剖宫产术后再次妊娠的孕妇应进行详细的检查,合理选择分娩方式,瘢痕子宫不是再次剖宫产的手术指征。
Objective: To explore the choice of mode of delivery after cesarean section. Methods: The clinical data of 246 pregnant women after cesarean section who were admitted to obstetrics from August 2012 to July 2013 were retrospectively analyzed. According to the modes of delivery, the above pregnant women were divided into vaginal delivery group and cesarean section again Groups and maternal and child complications such as delivery endings, postpartum hemorrhage, and neonatal asphyxia were analyzed. Results: Among 246 pregnant women with scar uterus, 36 cases were delivered vaginally and 210 cases were cesarean again. The amount of postpartum hemorrhage, hospitalization time and hospitalization cost of pregnant women in vaginal delivery group were lower than those in the second cesarean section group. The rate of neonatal asphyxia No significant statistical significance. Conclusion: Pregnant women who have been re-pregnant after cesarean section should be examined in detail, and the mode of delivery should be chosen reasonably. Scarring uterus is not the indication for cesarean section.