国际医药卫生导报2014，Vol.20Issue(8)：1080-1083,4.DOI:10.3760/cma.j.issn.1007-1245.2014.08.016
剖宫产术后再次妊娠经阴道试产的母婴结局研究探讨
Maternal and infant outcomes of vaginal trial production after pregnancy cesarean section
摘要
Abstract
Objective To explore and analyze the infuence of vaginal trial production after pregnancy cesarean section on maternal and infant outcomes and understand the pros and cons to the mothers and infants of vaginal trial production after pregnancy cesarean section.Methods 143 puerperae being pregnant after pregnancy cesarean section admitted into our hospital from 2010 to 2013 were chosen.37 cases delivering through cesarean section were set as a control group,while the rest 106 cases trying to deliver vaginally were set as an observation group.Maternal and infant complications were compared between the two groups.Results 62 cases succeeded in delivering vaginally in the observation group,the other 44 cases delivered through cesarean section after the failure of vaginal trial production.Compared with the control group,the observation group had lower incidence of postpartum fever and spent less in hospitalization (P ＜ 0.05).The incidences of precursory uterine rupture and postpartum fever were lower and the neonatal Apgar score was better in the puerperae succeeded in delivering vaginally than in those failed (P ＜ 0.05).Conclusions There is marked influence of vaginal trial production after pregnancy cesarean section on maternal and infant outcomes.If vaginal trial production succeed,the probability of postoperative infection would be greatly reduces,hospital stay shortened,and hospital costs lowered,but if fail,the incidences of precursory uterine rupture,fetal distress,and other complications would be increased.关键词
剖宫产术后/经阴道试产/母婴结局Key words
Post-pregnancy-cesarean-section/ Vaginal trial production/ Maternal and infant outcomes引用本文复制引用
李淑云,梁华,杜京华..剖宫产术后再次妊娠经阴道试产的母婴结局研究探讨[J].国际医药卫生导报,2014,20(8):1080-1083,4.
