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目的:探讨剖宫产术后再次妊娠分娩方式的选择和临床分析。方法:对我院2014年1月到2015年3月收治的有剖宫产手术史的369位孕妇,对其再次妊娠的分娩方式和分娩结局进行回顾分析。其中215例选择再次剖宫产,无阴道分娩禁忌的154例选择经由阴道分娩。本分析从住院时间、出血量、产褥感染、子宫破裂、新生儿感染、新生儿窒息等指标对比两种分娩方式对母婴的影响。结果:对产妇影响:住院时间、出血量、产褥感染、子宫破裂,两种方法相比有统计学差异(P<0.05)。对新生儿影响:新生儿感染、新生儿窒息、新生儿体重,两种方法相比无统计学差异(P>0.05)。结论:对具有剖宫产手术史的孕妇在选取分娩方式时,在具备阴道试产适应症的情况下,阴道分娩是安全可靠的推荐方式。
Objective: To explore the choice of pregnancy mode of delivery after cesarean section and clinical analysis. Methods: A total of 369 pregnant women who had a history of cesarean section from January 2014 to March 2015 in our hospital were retrospectively analyzed on the modes of delivery and childbirth. Among them, 215 cases chose to have another cesarean section and 154 cases with no contraindication of vaginal delivery had vaginal delivery. The analysis of hospitalization time, bleeding, puerperal infection, uterine rupture, neonatal infection, neonatal asphyxia and other indicators of the two modes of delivery on maternal and infant. Results: The impact on the maternal: hospitalization time, bleeding, puerperal infection, uterine rupture, there was a significant difference between the two methods (P <0.05). The impact on newborns: neonatal infection, neonatal asphyxia, newborn weight, no significant difference between the two methods (P> 0.05). CONCLUSIONS: Vaginal delivery is a safe and reliable method for selecting pregnant women with a history of cesarean delivery when vaginal delivery is the indication of vaginal delivery.