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剖宫产术后再次妊娠经阴道试产对母婴结局的影响

  

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-03-25

After Cesarean Section on Maternal and Neonatal Outcomes of Pregnancy Vaginal Trial Production Effect

  • Received:1900-01-01 Revised:1900-01-01 Online:2012-03-25

摘要: 目的:探讨剖宫产术后再次妊娠经阴道试产成功率及对母婴结局的影响。方法:选择2009年4月-2011年4月在我院进行剖宫产术后再次妊娠经阴道试产的65例产妇作为研究对象,其中年龄分布为(27.5±5.2)岁,,孕次分布为(2.5±0.4)次,孕周分布为(38.2±1.8)周。所有研究对象均签署知情同意书,愿意参加本研究。选择合适的纳入和排除标准,采用SPSS13.0统计软件进行数据统计分析与描述,检验水准为0.05。结果:对研究人群剖宫产后再次妊娠进行阴道试产情况显示,成功例数为58例,占89.23%。阴道试产失败改为再次剖宫产患者为7例,占10.77%,两组生产方式比较出血量和新生儿Apgar评分存在统计学意义(P<0.05)。而新生儿体重比较不存在统计学意义(P>0.05),阴道试产失败行再次剖宫产原因分析主要为剧烈疼痛、胎儿窘迫、产程停滞和子宫下端压痛。结论:选择符合阴道试产条件的产妇,剖宫产术后再次妊娠采用阴道试产成功率较高,有一定安全性且并发症少,应加强临床推广。

Abstract: Objective:To investigate after cesarean section pregnancy vaginal trial production success rate and the effect on maternal and neonatal outcomes.Methods:In 2009 April to 2011 April in our hospital were cesarean section after pregnancy vaginal trial production of 65 cases of maternal as the object of study,the age distribution was(27.5±5.2) years,pregnant times distribution for(2.5±0.4),(38.2±1.8) weeks of gestation week distribution.All study subjects were signed informed consent,willing to participate in this study.Select the appropriate inclusion and exclusion criteria,using SPSS13.0 statistical software for data statistics analysis and description,inspection standards for the 0.05.Results:The study population of secondary pregnancy after cesarean section vaginal trial production shows,successful cases for the 58 patients,89.23%.Vaginal trial production failed to repeat cesarean section patients was 7 cases,accounting for 10.77%,two sets of production mode comparison of hemorrhage and neonatal Apgar score had statistical significance(P<0.05).And neonatal weight less had statistical significance(P>0.05),vaginal trial production of failure cause analysis of repeat cesarean section for fetal distress,severe pain,birth process stalled and uterine lower tenderness.Conclusion:Choose the vaginal trial production conditions of maternal,repeated pregnancy after cesarean section by vaginal trial production success rate is high,have certain safety and less complications,should strengthen the clinical promotion.