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目的观察剖宫产术后再次足月妊娠的孕产妇的分娩结局。方法选取2012年1月至2014年6月住院部分娩的瘢痕子宫产妇200例为观察组,选取同期住院分娩的初产妇200例为对照组,观察两组产妇的分娩结局。结果观察组经阴道分娩的产妇发生子宫破裂2例,均为阴道试产过程中疑先兆子宫破裂紧急行剖宫产终止妊娠,术中见子宫肌层部分断裂,因处理及时未造成严重后果。观察组剖宫产产妇产后出血率、产后2 h出血量均高于对照组剖宫产者(P<0.05),观察组剖宫产分娩剖宫产分娩的产妇产后出血率、产后2 h出血量高于同组阴道分娩产妇(P<0.05)。结论阴道分娩未显著增加子宫破裂、产后出血发生率,而再次剖宫产分娩产妇的产后出血率、产后出血量有所增加。
Objective To observe the delivery outcomes of pregnant women after full term pregnancy after cesarean section. Methods From January 2012 to June 2014, 200 cases of scarring uterus delivery in hospitalized part were selected as the observation group. 200 cases of primipara in the same period of hospitalization were selected as the control group. The delivery outcomes of the two groups were observed. Results In observation group, vaginal delivery of maternal uterine rupture occurred in 2 cases, both during vaginal trial suspected uterine rupture emergency cesarean section termination of pregnancy, surgery, see the myometrium part of the fracture, due to the timely treatment did not cause serious consequences. The bleeding rate of cesarean section postpartum in observation group was higher than that of cesarean section in control group at 2 hours postpartum (P <0.05). The postpartum hemorrhage rate in cesarean section in cesarean section in delivery group and hemorrhage in 2 hours postpartum The amount of vaginal delivery than the same group of mothers (P <0.05). Conclusions Vaginal delivery did not significantly increase the incidence of uterine rupture and postpartum hemorrhage. However, the rate of postpartum hemorrhage and the amount of postpartum hemorrhage increased after cesarean delivery.