CAJ | 학술논문

目的：比较剖宫产术后再次妊娠不同分娩方式的相关并发症及安全性。方法选取有一次剖宫产史的瘢痕子宫孕妇122例，再次妊娠分娩，其中剖宫产者69例，经阴道顺产者53例，比较两种分娩方式对分娩结局的影响。结果瘢痕子宫经阴道顺产或再次剖宫产的宫缩乏力、产后出血、伤口感染及新生儿窒息发生率无统计学差异，但再次剖宫产组者产后贫血发生率较阴道顺产组升高（P＜0.05）。结论一次剖宫产术后，经充分评估后确定符合阴道试产条件者，在严密监护下应予阴道试产，引产时注意引产方式的选择、缩宫素的合理应用及先兆子宫破裂、子宫破裂的密切观察。
목적：비교부궁산술후재차임신불동분면방식적상관병발증급안전성。방법선취유일차부궁산사적반흔자궁잉부122례，재차임신분면，기중부궁산자69례，경음도순산자53례，비교량충분면방식대분면결국적영향。결과반흔자궁경음도순산혹재차부궁산적궁축핍력、산후출혈、상구감염급신생인질식발생솔무통계학차이，단재차부궁산조자산후빈혈발생솔교음도순산조승고（P＜0.05）。결론일차부궁산술후，경충분평고후학정부합음도시산조건자，재엄밀감호하응여음도시산，인산시주의인산방식적선택、축궁소적합리응용급선조자궁파렬、자궁파렬적밀절관찰。
Objective To evaluate the safety and complications between two kinds of delivery mode in patients with prior cesarean section. Methods 122 cases of a second time pregnant women with one previous cesarean section ,69 gravidas chose repeat caesarean and 53 gravidas chose vaginal birth after previous caesarean section ,the outcome of two kinds of mode of delivery was compared. Results There is no signiifcant difference with uterine atony, postpartum hemorrhage, neonatal asphyxia, wound infection between vaginal birth and repeat caesarean , but the incidence of anemia with repeat caesarean is higher than that in vaginal birth . Conclusions Woman with one previous cesarean section should be offered a trial of labor with a full assessment.Choosing correct labor techniques,infusing oxytocin carefully, avoiding uterine rupture are very important in delivery course.