论文部分内容阅读
目的:探讨剖宫产后再次妊娠经阴道分娩造成的母婴结局影响。方法:选取86例剖宫产再次妊娠产妇临床资料,随机分为观察组和对照组各43例,对2组母婴结局进行比较分析。结果:观察组阴道分娩试产中35例试产成功,无子宫下段瘢痕破裂,行再次剖宫产手术率为12.5%,对照组18例术中腹腔粘连,9例术中出血量≥500ml。2组产后情况比较,差异显著。结论:对于剖宫产术后再次妊娠产妇需给予阴道试产机会,经阴道分娩可以将孕妇的围产期情况进行改善,不会造成新生儿不利影响,可在临床考虑推广应用。
Objective: To investigate the effect of vaginal delivery after cesarean section on maternal and infant outcome. Methods: The clinical data of 86 pregnant women with cesarean section re-pregnancy were selected and randomly divided into observation group and control group, with 43 cases in each group. The maternal and infant outcomes of the two groups were compared and analyzed. Results: 35 cases of trial production in trial group were successful in trial production of vaginal delivery without scar rupture in the lower uterine segment. The rate of re-cesarean section was 12.5% in control group and 18 cases in control group. Intraoperative blood loss was ≥ 500ml in 9 cases. Two groups of postpartum conditions, the difference was significant. Conclusion: For the pregnant women after cesarean section, the pregnancy should be given the chance of vaginal trial. Vaginal delivery can improve the perinatal status of the pregnant women without adverse effects on the newborn. It can be popularized and applied clinically.