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剖宫产术后再次妊娠阴道试产的可行性及安全性探讨 被引量:4

Study on the Feasibility and Safety of Vaginal Trial Delivery After Cesarean Section
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摘要 目的对于剖宫产术后再次妊娠阴道试产的可行性和安全性进行探讨。方法选取本院2018年2月—2019年2月接诊的剖宫产术后再次妊娠产妇88例开展分析,其中44例剖宫产术后再次妊娠产妇接受阴道试产,将其作为研究组,剩余44例剖宫产术后再次妊娠产妇接受剖宫产手术分娩,将其作为对照组,对比两组剖宫产术后再次妊娠产妇的分娩结局、出血量、住院时间和新生儿情况。结果两组剖宫产术后再次妊娠产妇的出血量、住院时间对比差异有统计学意义(P<0.05),两组新生儿Apgar评分对比差异有统计学意义(P<0.05)。结论临床中针对剖宫产术后再次妊娠产妇,为其提供阴道试产存在一定可行性,能够降低剖宫产术后再次妊娠产妇再次剖宫产风险,降低出血量,加快产后恢复速度。 Objective To explore the feasibility and safety of vaginal trial delivery of pregnancy after cesarean section.Methods Select our hospital from February 2018 to February 2019 alone again pregnancy,88 cases of cesarean section to carry out the analysis,including 44 cases of cesarean section again pregnancy vaginal trial production as a team,the remaining 44 cases of pregnancy cesarean section surgery again after cesarean section delivery as a control group,compared two groups of cesarean section again the labor outcomes of pregnancy women,blood loss,hospital stay and newborn.Results There were significant differences in the amount of blood loss and length of stay between the two groups(P<0.05).The difference of Apgar score between the two groups was statistically significant(P<0.05).Conclusion In clinical practice,it is feasible to provide vaginal trial birth for pregnant women who are pregnant again after cesarean section.At the same time,the success rate of vaginal trial birth is relatively high,reduce the amount of blood loss,and speed up the postpartum recovery.
作者 冯红 FENG Hong(Department of Obstetrics and Gynecology,Zaozhuang Hospital,Zaozhuang Mining Group,Zaozhuang Shandong 277101,China)
出处 《中国卫生标准管理》 2020年第4期27-29,共3页 China Health Standard Management
关键词 剖宫产 再次妊娠 阴道试产 产后出血 可行性 安全性 cesarean section second pregnancy vaginal trial postpartum hemorrhage the feasibility security
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