Secondary pregnancy after cesarean section vaginal delivery of.docVIP

 PAGE \* MERGEFORMAT 5 Secondary pregnancy after cesarean section vaginal delivery of As medical advances in recent years and various social factors, cesarean section rate has increased year by year trend, pregnant women, pregnancy after cesarean section increased gradually again, so uterine scar pregnancy, delivery mode again, the choice of growing concern, more than ever to the end of pregnancy, cesarean section, the paper selected secondary pregnancy after cesarean section in our hospital, 200 cases produced according to the previous curettage surgical indications, surgical and wound healing factors such as a comprehensive analysis of cesarean section pregnant again, the mode of delivery. 1 Materials and Methods 1.1 General information from July 2007 to March 2009 after cesarean section in our hospital were 200 cases of pregnancy, childbirth again, which again cesarean section (RCS) 125 cases of vaginal birth after cesarean section (VBAC) 75 例, 37 ~ 42 weeks gestation from the last cesarean section for 1 year and 6 months to 10 years, the previous lower uterine segment cesarean section for the 185 cases, 15 cases of uterine segment cesarean section, infection history. 1.2 Methods 200 cases of pregnancy after cesarean section delivery mode again, birth outcomes and perinatal complications were analyzed, randomly selected non-scarred uterus vaginal delivery (VBNC) 75 control group example and VBAC VBAC and .200 cases RCS of postpartum hemorrhage, neonatal asphyxia, length of hospital stay were compared. 1.3 Statistical analysis using t test measurement data, count data by inspection. 2 Results 2.1 in 200 115 cases of pregnant women in a direct choice cesarean section. 85 cases of vaginal trial production, 75 cases of successful trial production, the success rate was 88.2%, of which 3 cases of forceps delivery, no uterine rupture, 1 case of asphyxia, no post-partum haemorrhage. Which diverted 10 cases cesarean section during