剖宫产术后再次妊娠的产妇选择阴道分娩的可行性研究

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摘要目的探讨剖宫产术后再次妊娠的产妇选择阴道分娩的可行性。方法选取2015年1月～2016年12月我院的172例剖宫产术后再次妊娠产妇作为研究对象，按照产妇及家属意愿分成两组，每组各86例。实验组产妇采用阴道分娩，对照组产妇继续采用剖宫产进行分娩。对比分析两组产妇及胎儿的各项指标情况。结果实验组产妇产程时间和住院时间均显著短于对照组，出血量显著少于对照组，术后血栓形成率及围产期受感染率均显著低于对照组，差异均有统计学意义（P＜0.05）；实验组新生儿体重、Apgar评分与对照组比较，差异无统计学意义（P＞0.05）；两组新生儿的不良结果发生情况比较，差异无统计学意义（P＞0.05）。结论剖宫产术后再次妊娠的产妇选择阴道分娩能够显著缩短产程时间，减少手术创伤以及出血量，降低感染率，安全可靠，且降低分娩成本。因此在严格掌握适应症的前提下，鼓励产妇进行阴道分娩。

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	胡敏华
	梁梅芬

关键词 ：剖宫产术, 再次妊娠, 阴道分娩, 可行性

Abstract：Objective To explore the feasibility of vaginal delivery after cesarean section in re-pregnant women.Methods Altogether 172 cases of re-pregnant women after cesarean section in our hospital from January 2015 to December 2016 were selected as subjects and divided into two groups according to the wishes of pregnant women and their families,with 86 cases in each group.Among them,experiment group adopted vaginal delivery,while control group continued to adopt cesarean delivery.The maternal and fetal indicators of the two groups were observed and comparatively analyzed.Results The duration of labor and hospitalization time of pregnant women in experiment group were significantly shorter than those of control group,the amount of bleeding of experiment group was significantly less than that of control group,the postoperative thrombosis rate and perinatal infection rate of experiment group were significantly lower than those of control group,the differences were statistically significant(P＜0.05).The neonatal weight and Apgar score of experiment group were compared with control group,and the differences were not statistically significant(P＞0.05).The adverse results of the neonates in experiment group were compared with control group,and the differences were not statistically significant(P＞0.05).Conclusion Selection of vaginal delivery for pregnant women after cesarean section can significantly shorten the duration of labor,reduce trauma,the amount of bleeding and the infection rate.It′s safe,realible and reduce the cost of delivery.Therefore,in the premise of strictly surgical indications,pregnant women are encouraged to accept vaginal delivery.

Key words： Cesarean section Re-pregnancy Vaginal delivery Feasibility

基金资助:广东省广州市医药卫生科技项目（20141A041022）

引用本文:

胡敏华;梁梅芬. 剖宫产术后再次妊娠的产妇选择阴道分娩的可行性研究[J]. 中国当代医药, 2017, 24(28): 120-122.
HU Min-hua;LIANG Mei-fen. Feasibility study of vaginal delivery after cesarean section in re-pregnant women. 中国当代医药, 2017, 24(28): 120-122.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I28/120

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