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目的 探讨剖宫产后再次妊娠的分娩方式。方法 对６６ 例剖宫产后再次妊娠产妇分娩方式进行回顾性分析。结果 阴道试产１１ 例（１６．７％ ），其中顺产８ 例，产钳及臀牵引各１ 例，试产成功率为９０．９％ ，总产程８ 小时３９ 分。再次剖宫产５６ 例（８４．８％ ），有产科指征者２７ 例，患者及家属要求手术加绝育者９ 例，子宫瘢痕及珍贵胎儿手术者２０ 例。本次妊娠可阴道试产者３９ 例，试产率为２８．２％ 。结论 剖宫产史作为再次剖宫产的指征是不合理的，如无产科指征，应予试产机会，因为阴道分娩可减少再次开腹手术给患者带来的各种危险和并发症，减少患者的手术痛苦和经济负担，减少住院时间，可提高床位周转，缓解医院床位紧张状况等，应予提倡。
Objective To investigate the mode of delivery after cesarean section. Methods 66 cases of cesarean section after pregnancy again maternal delivery mode were analyzed retrospectively. Results The vaginal trial was performed in 11 cases (16.7%). Among them, 8 cases were normal delivery and 1 case was forceps and hip traction. The success rate of trial production was 90.9%, and the duration of labor was 8 hours and 39 minutes. Again cesarean section in 56 cases (84.8%), there are indications of obstetric 27 cases, patients and their families require surgery and sterilization in 9 cases, uterine scar and rare fetus surgery in 20 cases. The pregnancy can be vaginal trial of 39 cases, trial yield was 28.2%. Conclusion Cesarean section history as an indication of cesarean section is unreasonable, such as obstetric indications should be trial production opportunities, because vaginal delivery can reduce the risk of complications and re-open surgery to patients , Reduce the pain and financial burden on patients, reduce hospitalization time, improve bed turnover and relieve tension in hospital beds, which should be advocated.