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目的:探讨剖宫产后再次妊娠分娩方式的选择。方法:选取2012年5月-2014年6月本院收治的120例剖宫产后再次妊娠患者,在综合分析的基础上选择最佳分娩方式,统计并对比不同分娩方式结局。结果:再次剖宫产和阴道分娩方式所占比例分别为62.5%、37.5%,阴道分娩组患者的平均住院时间和平均出血量均小于对照组,组间比较,差异具有统计学意义(P<0.05),大出血率和新生儿窒息率比较,差异无统计学意义(P>0.05)。结论:剖宫产后再次分娩如无试产禁忌或明显剖宫产指征应当首选阴道分娩。
Objective: To explore the choice of delivery mode after cesarean section. Methods: From May 2012 to June 2014, 120 cases of post-cesarean pregnancy in our hospital were selected. Based on the comprehensive analysis, the best mode of delivery was selected, and the outcomes of different modes of delivery were compared. Results: The proportions of cesarean section and vaginal delivery were 62.5% and 37.5% respectively. The average length of hospital stay and average blood loss in vaginal delivery group were less than those in control group. The differences were statistically significant (P < 0.05), the rate of hemorrhage and neonatal asphyxia, the difference was not statistically significant (P> 0.05). CONCLUSIONS: Reproductive delivery after cesarean delivery should be the preferred vaginal delivery if there is no contraindication for contraindication or cesarean indication.