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目的:探究剖宫产术后再次妊娠分娩方式的选择以及对母婴的影响。方法:对150例剖宫产术后再次妊娠的患者分娩方式和母婴结局进行回顾性分析。结果:150例再次妊娠的剖宫产妇中,直接剖宫产28例,122例选择阴道试产;阴道试产产妇中有95例试产成功,成功率为77.8%,其余27例改为剖宫产。阴道试产组产妇的出血量、住院时间以及住院费用等均显著低于剖宫产(P<0.05);阴道试产失败组产妇新生儿窒息等并发发生率显著高于试产成功组(P<0.05)。结论:剖宫产不是再次行剖宫产的绝对指征,只要有试产的条件均可以选择阴道生产,最大程度保证母婴安全。
Objective: To explore the choice of the mode of delivery after cesarean delivery and the influence on the mother and infant again. Methods: 150 cases of cesarean section after pregnancy again delivery mode and maternal and infant outcomes were analyzed retrospectively. Results: Among 150 cesarean women who re-pregnant, 28 cases were directly cesarean and 122 cases were vaginal trial. 95 cases of vaginal trial were successfully trial-produced with a success rate of 77.8% and the remaining 27 cases were changed to Cesarean section. Vaginal trial group of maternal bleeding, hospital stay and hospitalization costs were significantly lower than the cesarean section (P <0.05); vaginal failure of the trial group of maternal newborn asphyxia and other complications was significantly higher than the successful trial group (P <0.05). Conclusion: Cesarean section is not the absolute indication of cesarean section again. As long as there are trial production conditions, vaginal production can be selected to ensure the safety of mother and baby to the maximum extent.