| 摘要: |
| ［摘要］ 目的 探讨剖宫产术后再次妊娠分娩方式的选择。方法 随机抽取2008-01～2009-09收治剖宫产术后再次妊娠孕妇156例，对其分娩方式、分娩结局及医疗费用进行回顾性分析评价。结果 156例剖宫产术后再次妊娠者，行再次剖宫产(RCS)125例(其中择期剖宫产112例，阴道试产改行剖宫产13例)，占80.13%；阴道试产（TOL）44例，占28.21%，试产成功率为70.45%；阴道分娩(VBAC)31例，占19.87%。RCS组较VBAC组出血量大,分别为(175.7±4.0)ml和(85.5±8.5)ml，平均住院天数RCS组较VBAC组相对较长,分别为(8.20±1.58)d和(3.20±0.42)d，医疗费用RCS组较VBAC组为高。结论 有剖宫产史再次妊娠者,不一定选择剖宫产作为绝对指征，如无试产禁忌者可在严密监护下先行阴道试产。 |
| 关键词: 剖宫产 再次妊娠 分娩方式 |
| DOI：10.3969/j.issn.1674-3806.2011.01.10 |
| 分类号:R 719.8 |
| 基金项目: |
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| A control study between the vaginal birth after cesarean section and the repeated cesarean section |
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JIANG Yong-hong
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Department of Obstetrics and Gynecology, Liaocheng Dongchangfu People′s Hospital, Shandong 252000,China
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| Abstract: |
| ［Abstract］ Objective To discuss the delivery way of the re-pregnacy after cesarean section.Methods From January 2008 to September 2009, the ways of childbirth，the results of childbirth and the cost in the 156 cases of re-pregnacy after cesarean section randomly selected were retrospectively analyzd.Results Among 156 cases of re-pregnacy after cesarean section，125 cases received repeated cesarean section (RCS) (112 cases received selective cesarean section, 13 cases received cesarean section after failure of trial of vaginal labor)，accounted for 80.13%；the trial of vaginal labor were adopted in 44 cases, accounted for 28.21%；the VBAC 31 cases, accounted for 19.87%；the success rate of trial of vaginal labor was 70.45%.The quantity of postpartum hemorrhage of RCS was more than that of VBAC, ［(85.5±8.5)ml、(175.7±4.0)ml］,and the average days of hospitalization were more than that of VBAC,［(8.20±1.58)d、(3.20±0.42)d］,and the cost of RCS was higher than that of VBAC.Conclusion Cesarean section history is not the absolute indication of cesarean section， vaginal birth is possible under intensive monitoring. |
| Key words: Cesarean section Re-pregnancy Delivery mode |
