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目的:探讨剖宫产术后再次妊娠分娩方式的合理选择及结局。方法:回顾分析在我院产科分娩的剖宫产术后再次妊娠20例产妇的临床资料。结果:20例中阴道试产8例,5例试产成功(62.5%),产后常规检查无1例子宫瘢痕破裂,无任何并发症。新生儿Apgar评分5～7分1例,8～10分4例。试产中因故有3例行再次剖宫产术,再次剖宫产者总计15例。结论:剖宫产术后再次妊娠的产妇如果具备试产的条件,无试产禁忌证,在严密监护下,剖宫产术后再次妊娠者并非一定再次剖宫产。
Objective: To explore the reasonable choice and outcome of the mode of delivery after cesarean section. Methods: The clinical data of 20 pregnant women who were re-pregnant after cesarean delivery in our hospital were retrospectively analyzed. Results: In the 20 cases, 8 cases were vaginal trial, 5 cases were successful trial (62.5%), and 1 case had uterine scar rupture without any complication after routine examination. Neonatal Apgar score of 5 to 7 in 1 case, 8 to 10 points in 4 cases. Pilot production for some reason three cases of cesarean section again, a total of 15 cases of cesarean section again. CONCLUSIONS: Maternal pregnancy after cesarean section should have no prenatal contraindications if trial-produced and no second cesarean section after cesarean section.