CAJ | 학술논문

目的：比较剖宫产术后再次妊娠不同分娩方式，探讨阴道分娩的可行性及注意事项。方法：选择2007年1月~2O10年12月剖宫产术后再次妊娠孕妇220例作为研究对象，比较剖宫产术后再次妊娠与同期初产妇阴道分娩及剖宫产分娩结局的差异。结果：再次妊娠孕妇220例中实施阴道分娩50例(22.73%)，虽然较初产妇阴道分娩产时出血量、产程长，新生儿Apgar评分低、窒息多，但无统计学差异(P>0.05)。与初产妇比较170例剖宫产术后再次剖宫产出血量多、手术时间长、切口甲级愈合低、住院时间长(P<0.05)。结论：对剖宫产术后再次妊娠孕妇选择阴道试产利大于弊，应尽可能提供阴道试产机会，注意规范管理，保障母婴安全和健康。
목적：비교부궁산술후재차임신불동분면방식，탐토음도분면적가행성급주의사항。방법：선택2007년1월~2O10년12월부궁산술후재차임신잉부220례작위연구대상，비교부궁산술후재차임신여동기초산부음도분면급부궁산분면결국적차이。결과：재차임신잉부220례중실시음도분면50례(22.73%)，수연교초산부음도분면산시출혈량、산정장，신생인Apgar평분저、질식다，단무통계학차이(P>0.05)。여초산부비교170례부궁산술후재차부궁산출혈량다、수술시간장、절구갑급유합저、주원시간장(P<0.05)。결론：대부궁산술후재차임신잉부선택음도시산리대우폐，응진가능제공음도시산궤회，주의규범관리，보장모영안전화건강。
Objective:Comparative pregnancy laboratory pregnancy again different delivery way, explore the feasibility of vaginal delivery and the matters needing attention. Methods:Choose January 2007~December 2010 again after cesarean section 220 cases of pregnancy pregnant women as the research object, after cesarean section is again with the pregnancy primipara vaginal delivery and cesarean section delivery end difference. Results:Once again the pregnancy pregnant women in 220 cases of implementation of vaginal delivery 50 cases (22.73%), although more primipara vaginal delivery intrapartum amount of bleeding, lasting long and neonatal Apgar score low, asphyxia, but no statistical difference (P>0.05). Compared with primipara 170 cases of cesarean section again after cesarean section was the amount of bleeding, surgical time is long, incision healing of serie a low, be in hospital for a long time (P<0.05). Conclusion:After cesarean section to again pregnancy pregnant women choose the vaginal trial-produce more good than harm, should as far as possible to provide vaginal trial-produce opportunities, pay attention to management, ensure maternal and child safety and health.