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目的:探讨产妇剖宫产术后再次妊娠时进行阴道分娩的可行性,旨在为临床提供有效依据。方法:选取2012年10月至2014年10月该院收治的剖宫产术后再次妊娠经阴道分娩成功的产妇80例作为研究组,然后选取同期我院收治的初次妊娠经阴道分娩成功产妇80例作为对照组。观察和对比两组产妇的产时出血量、产程、住院天数、产后2 h出血量新生儿Apgar评分情况等指标。结果:两组产妇的第1产程时间、第2产程时间及总产程时间对比,差异均无统计学意义(P>0.05)。两组产妇的产时出血量、产后2 h出血量、平均住院天数及新生儿Apgar评分情况等指标对比,差异均无统计学意义(P>0.05)。结论:在具备条件的情况下,剖宫产术后再次妊娠经阴道分娩的可行性较高,值得推广应用。
Objective: To investigate the feasibility of vaginal delivery during the second trimester after cesarean section, aiming to provide an effective basis for clinical practice. Methods: From October 2012 to October 2014, 80 cases of successful vaginal delivery after cesarean section in our hospital were selected as the study group, and then the successful vaginal delivery of 80 cases Cases as a control group. Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology Results: There was no significant difference in the first stage of labor, the second stage of labor and the time of total labor between the two groups (P> 0.05). There was no significant difference between the two groups in terms of the amount of maternal blood loss at the time of delivery, the amount of bleeding at 2 h postpartum, the average length of stay in hospital, and the Apgar score of newborns (P> 0.05). Conclusion: Under the circumstance of being eligible, transvaginal delivery of cesarean section after pregnancy is more feasible and worth popularizing and applying.