中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
34期
72-73
,共2页
剖宫产%阴道产%分娩%妊娠
剖宮產%陰道產%分娩%妊娠
부궁산%음도산%분면%임신
Cesarean section%Vaginal birth%Delivery%Pregnancy
目的：探讨剖宫产术后再次妊娠分娩方式。方法：2012年4-5月收治剖宫产术后再次妊娠者36例，其中决定再次剖宫产14例，选择经阴道顺产22例，选择同期分娩的首次剖宫产产妇14例和首次阴道产产妇22例进行对比。分析比较各组产妇的指标情况。结果：再次剖宫产组与首次剖宫产组的产时出血量、平均手术时间、平均住院时间相比较差异具有统计学意义(P＜0.05)；再次阴道产组与首次阴道产组产妇产程时间、产时出血量、新生儿Apagar评分及平均住院时间相比较差异无统计学意义(P＞0.05)；再次剖宫产组与再次阴道产组产时出血量、平均住院时间及新生儿Apagar评分相比较差异具有统计学意义(P＜0.05)。结论：剖宫产术后再次妊娠产妇分娩方式并非指定剖宫产，符合阴道产条件即可尝试阴道产，明显改善分娩质量，减少分娩风险。
目的：探討剖宮產術後再次妊娠分娩方式。方法：2012年4-5月收治剖宮產術後再次妊娠者36例，其中決定再次剖宮產14例，選擇經陰道順產22例，選擇同期分娩的首次剖宮產產婦14例和首次陰道產產婦22例進行對比。分析比較各組產婦的指標情況。結果：再次剖宮產組與首次剖宮產組的產時齣血量、平均手術時間、平均住院時間相比較差異具有統計學意義(P＜0.05)；再次陰道產組與首次陰道產組產婦產程時間、產時齣血量、新生兒Apagar評分及平均住院時間相比較差異無統計學意義(P＞0.05)；再次剖宮產組與再次陰道產組產時齣血量、平均住院時間及新生兒Apagar評分相比較差異具有統計學意義(P＜0.05)。結論：剖宮產術後再次妊娠產婦分娩方式併非指定剖宮產，符閤陰道產條件即可嘗試陰道產，明顯改善分娩質量，減少分娩風險。
목적：탐토부궁산술후재차임신분면방식。방법：2012년4-5월수치부궁산술후재차임신자36례，기중결정재차부궁산14례，선택경음도순산22례，선택동기분면적수차부궁산산부14례화수차음도산산부22례진행대비。분석비교각조산부적지표정황。결과：재차부궁산조여수차부궁산조적산시출혈량、평균수술시간、평균주원시간상비교차이구유통계학의의(P＜0.05)；재차음도산조여수차음도산조산부산정시간、산시출혈량、신생인Apagar평분급평균주원시간상비교차이무통계학의의(P＞0.05)；재차부궁산조여재차음도산조산시출혈량、평균주원시간급신생인Apagar평분상비교차이구유통계학의의(P＜0.05)。결론：부궁산술후재차임신산부분면방식병비지정부궁산，부합음도산조건즉가상시음도산，명현개선분면질량，감소분면풍험。
Objective:To explore the way of delivery secondary pregnancy after cesarean section.Methods:36 patients with delivery secondary pregnancy after cesarean section were selected from April to May 2012,among them,who decided to re cesarean section in 14 cases,22 cases had the choice of transvaginal.We compared the first choice of cesarean section in 14 cases and 22 cases of maternal vaginal birth for the first time during the same period.We analyzed and compared of each maternal index. Results:The difference of the intrapartum hemorrhage volume,average operation time,average hospitalization time of the cesarean section group and the first cesarean section group was statistically significant(P<0.05);the difference of the labor course,prenatal hemorrhage,neonatal apagar score and the average hospitalization time of the again vaginal birth group and first vaginal delivery group was not statistically significant(P>0.05);the difference of the amount of bleeding during production,average hospitalization time and apagar score of the again cesarean section group and vaginal delivery group was statistically significant(P<0.05). Conclusion:Pregnancy after cesarean section maternal mode of delivery is not specified in cesarean section.Consistent with the vaginal birth conditions can try vaginal birth,and it can significantly improve the quality of delivery,and reduce the incidence of risk.
