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目的探讨疤痕子宫再次分娩时分娩方式的选择，为减少孕产妇并发症，提高婴儿生存质量提供参考。方法以我院产科于2011年8月~2012年9月剖宫产后再次分娩的23例孕妇为研究对象，另外随机选择23例非疤痕子宫、正常再次经阴道分娩的孕妇作为对照组，分析不同分娩方式的临床情况。结果研究组产妇行阴道分娩成功17例，有6例患者试产失败，转行剖宫产，产妇平均出院时间为（7.2±2.1）d，无产后大出血的发生，对照组产妇平均出院时间为（2.7±0.8）d。两组产妇的出院时间差异有统计学意义。研究组婴儿Apagar评分平均为（8.2±0.6）分。对照组Apagar评分平均为（8.4±0.9）分。两组产妇的Apagar评分差异无统计学意义。结论在严格把握阴道试产指征、密切观察预防并发症发生的情况下，选择阴道分娩是安全和可行的。“,”Objective To investigate the choice of delivery mode of scar uterus again at the time of delivery, in order to reduce the maternal complications and improve infant survival quality reference. Methods 23 pregnant women of cesarean section delivery were randomly selected in our hospital in August 2011 to September 2012, 23 pregnant women of normal non scar uterus with vaginal delivery again were as control group. The clinical situations of dif erent delivery way were analyzed. Results the study group had parturient vaginal delivery was successful in 17 cases, 6 cases failed trial of labor and had cesarean section maternal. The study group had average discharge time of (7.2 ± 2.1) d, and had no postpartum hemorrhage. The control group had maternal discharge time of (2.7 ± 0.8) d. There was statistical y significant dif erence between the two groups of maternal discharge time. The baby Apagar score of study group averaged to (8.2 ± 0.6) points. The average Apagar score of control group was (8.4 ± 0.9) points. No statistical y significant dif erence was observed in Apagar score of two groups. Conclusion vaginal delivery is safe and feasible in the condition of strictly grasping of vaginal delivery indication, and prevention of complications.