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目的:对剖宫产后再次妊娠经阴道的研究与探讨。方法:对本院2008年至2009年间的152例剖宫产后再次妊娠经阴道的孕妇临床资料进行研究。结果:在这152例临床资料中有127例是顺利完成了分娩,成功率约为百分之八十三;其中有25例从妊娠分娩改成了剖宫产;由于胎儿头部俯屈导致旋转不易而造成滞产的病例有十例;胎儿宫内窘迫有八例;上一次的分娩没有进入产程而导致这次的剖宫产失败的病例有四件;还有两例是子宫下段压痛而考虑到子宫先兆破裂;最后一例是因为孕妇无法忍受分娩前的宫缩疼痛而选择剖宫产。结论:综上所述,孕妇在剖宫产后再次怀孕,并且此次妊娠经阴道分娩是存在一定的风险的,因此必须要掌握引导分娩的禁忌证以及适应证,不要盲目进行剖宫产,避免一系列危险因素。
Objective: To study and discuss transvaginal pregnancy after cesarean section. Methods: The clinical data of 152 pregnant women with vaginal pregnancy after cesarean section during the period from 2008 to 2009 were studied. Results: Of the 152 clinical data, 127 were delivered successfully, with a success rate of 83%. Among them, 25 cases were changed from pregnancy to cesarean delivery. Due to fetal head flexion There are ten cases of miscarriage caused by hard-to-rotate; eight cases of fetal distress; the last delivery did not enter the labor and lead to the failure of the cesarean section there are four cases; there are two cases of lower uterine tenderness Taking into account the precursor rupture of the uterus; the last case is because pregnant women can not stand the pain before delivery and contractions choose cesarean. Conclusion: In summary, pregnant women after pregnancy again after cesarean section, and the vaginal delivery of pregnancy there is a certain risk, it is necessary to master the contraindications to guide the delivery and indications, do not blindly cesarean section, Avoid a series of risk factors.