剖宫产术后足月妊娠分娩方式及结局探讨.docxVIP

剖宫产术后足月妊娠分娩方式及结局探讨 　　【摘要】目的：探討剖宫产术后足月妊娠产妇再次分娩方式及对妊娠结局的影响。方法：选取2016年8月-2019年8月在笔者所在医院产检、分娩的剖宫产术后足月妊娠再次分娩产妇作为观察组，同期初次分娩产妇作为对照组，各60例。比较两组分娩方式、妊娠结局;并比较观察组阴道分娩产妇和剖宫产产妇分娩结局。结果：观察组阴道分娩发生率为65.00%，对照组阴道分娩发生率为75.00%，两组比较差异无统计学意义（p0.05）。两组产妇子宫内膜炎、产褥热和新生儿湿肺发生率比较差异均无统计学意义（p0.05）。观察组剖宫产产妇子宫内膜炎、产褥热和新生儿湿肺发生率均高于阴道分娩产妇，差异有统计学意义（p0.05）。结论：符合阴道试产的剖宫产术后足月妊娠产妇，阴道分娩率较高，且不良妊娠结局发生率低，因此，剖宫产术后足月妊娠产妇符合阴道试产指征，可进行阴道试产，以降低剖宫产率，提高妊娠安全性。 　　【关键词】妊娠阴道分娩剖宫产 　　doi：10.14033/j.cnki.cfmr.2020.12.051文献标识码b文章编号1674-6805（2020）12-0-02 　　discussionondeliverymethodsandoutcomeoffull-termpregnancyaftercesareansection/xuyingxian.//chineseandforeignmedicalresearch，2020，18（12）：-122 　　[abstract]objective：toinvestigatethemethodofdeliveryanditseffectoftheoutcomeoffull-termpregnancyaftercesareansection.method：fromaugust2016toaugust2019，thepregnantwomenwhogavebirthagaininfull-termpregnancyaftercesareansectioninourhospitalwereselectedastheobservationgroup，andthepregnantwomenwhogavebirthforthefirsttimeatthesametimewereselectedasthecontrolgroup，with60casesineachgroup.thedeliverymethodsandpregnancyoutcomesofthetwogroupswerecompared.theoutcomesofvaginaldeliverypregnantwomenandcesareansectionpregnantwomenintheobservationgroupwerecompared.result：theincidencerateofvaginaldeliveryintheobservationgroupwas65.00%，andtheincidencerateofvaginaldeliveryinthecontrolgroupwas75.00%.therewasnosignificantdifferencebetweenthetwogroups（p0.05）.therewerenosignificantdifferencesintheincidenceofendometritis，puerperalfeverandneonatalwetlungbetweenthetwogroups（p0.05）.theincidenceofendometritis，puerperalfeverandneonatalwetlungofcesareansectionpregnantwomenintheobservationgroupwereallhigherthanthoseofvaginaldeliverypregnantwomen（p0.05）.conclusion：inpatientswithfull-termpregnancyaftercesareansectioninlinewithvaginaltrialdelivery，vaginaldeliveryrateishigh，andtheincidenceofadversepregnancyoutcomeislow，therefore，cesareansectionafterfulltermpregnantwomeninlinewithvaginaltrialdeliveryindications，vaginaltrialdeliverycanbecarriedout，inorde