剖宫产术后再次妊娠阴道试产可行性及安全性探析.docVIP

剖宫产术后再次妊娠阴道试产可行性及安全性探析 　　【摘要】 目的：探讨剖宫产术后再次妊娠阴道试产的可行性及安全性。方法：选择2014年2月-2015年12月在笔者所在医院妇产科住院的剖宫产术后再次妊娠56例产妇作为观察组，选择同期初次妊娠的45例正常孕产妇为对照组，两组均进行阴道试产方案，观察两组产妇阴道试产成功率及阴道试产失败的原因；比较两组产妇分娩时平均产程时间、先兆子宫破裂、产后出血量、阴道助产和新生儿窒息等情况。结果：观察组阴道试产成功率（76.8%）低于对照组（88.9%），差异有统计学意义（P0.05）。结论：剖宫产术后再次妊娠分娩时，阴道分娩有相对较高的试产成功率，并且并发症少，有较高的可行性和安全性 【关键词】 剖宫产； 再次妊娠； 阴道试产 doi：10.14033/j.cnki.cfmr.2017.5.010 文献标识码 B 文章编号 1674-6805（2017）05-0020-03 Analysis on the Feasibility and Safety of Vaginal Delivery after Cesarean Section Pregnancy/JU Chun-ling，LIU Xiao-ling.//Chinese and Foreign Medical Research，2017，15（5）：20-22 【Abstract】 Objective：To explore the feasibility and safety of vaginal delivery of pregnancy after cesarean section.Method：From February 2014 to December 2015 in our hospital obstetrics and gynecology，56 cases of pregnant women after cesarean section pregnancy were selected as the observation group，45 cases of normal pregnant women of first pregnancy were selected as the control group，two groups of women taken trial of labor，two groups of maternal success rate of vaginal delivery，reasons of vaginal delivery failure were compared，two groups of maternal average labor time，uterine rupture，postpartum bleeding，vaginal delivery and neonatal asphyxia were compared.Result：In the observation group，the success rated of vaginal delivery（76.8%） was lower than that in the control group（88.9%），there was statistically significant differenced（P0.05）.Conclusion：Vaginal delivery on subsequent pregnancy after cesarean section pregnancy is relatively higher success rate，and less complications，it has high feasibility and safety. 【Key words】 Caesarean section； Re pregnancy； Vaginal delivery First-authors address：Baoan District Shiyan Peoples Hospital of Shenzhen，Shenzhen 518108，China 孕产妇在施行剖宫产术后便会使子宫形成瘢痕，即通常所指的瘢痕子宫。近年来，随着剖宫产率的逐渐增加，瘢痕子宫的孕产妇也越来越多。长期以来，对于瘢痕子宫采取再次剖宫产还是自然分娩尚存在争议[1]。研究显示，瘢痕子宫者再次行剖宫产术会给母婴带来较多并发症[2]。因此，在严格掌握剖宫产适应证的同时，应尽最大努力提高阴道试产率。为了研究剖宫产术后再次妊娠阴道试产的可行性及安全性，笔者所在医院对56例剖宫产术后再次妊娠并阴道试产的产妇的临床资