论文部分内容阅读
目的探讨剖宫产术后再次妊娠的分娩方式。方法对温县人民医院2007年11月—2009年11月剖宫产术后再次妊娠321例分娩方式及结局进行回顾性分析。将其中剖宫产术后阴道分娩(VBAC)72例与同期非瘢痕子宫阴道分娩(VBNC)72例进行对照分析,再次剖宫产(RCS)249例与随机抽取同期剖宫产(PCS)249例进行对照分析。结果 321例中再次剖宫产249例,阴道试产93例,阴道分娩72例,试产成功率77.42%。RCS产后出血量比VBAV组高,平均住院天数长,产后出血、严重粘连发生率比PCS组高,差异有显著性意义(P<0.05)。结论剖宫产术后再次妊娠分娩,阴道分娩与再次剖宫产相比,利大于弊,符合阴道试产条件者,严密监护下阴道试产是安全的。
Objective To investigate the mode of delivery after cesarean section. Methods Retrospective analysis was performed on 321 delivery methods and outcomes of the second pregnancy after cesarean section in Wenxian People’s Hospital from November 2007 to November 2009. 72 cases of vaginal delivery after cesarean section (VBAC) and 72 cases of non-scarring vaginal delivery (VBNC) during the same period were analyzed. Another 249 cases of RCS were randomized to receive 249 simultaneous cesarean section (PCS) Cases for control analysis. Results Among the 321 cases, another 249 cases were cesarean section, 93 cases were vaginal trial, 72 cases were vaginal delivery, and the success rate of trial production was 77.42%. The postpartum hemorrhage volume in RCS was higher than that in VBAV group, the average length of stay in hospital, postpartum hemorrhage and incidence of severe adhesion were higher than those in PCS group (P <0.05). Conclusion Cesarean section after pregnancy and childbirth, vaginal delivery and cesarean section compared again, outweigh the disadvantages, in line with vaginal trial production conditions, vaginal trial production under close supervision is safe.