中国当代医药Issue(28)：104-107,4.
剖宫产术后阴道分娩的临床结局及安全性分析
Clinical outcome and safety analysis of vaginal delivery after cesarean section
摘要
Abstract
Objective To explore the clinical outcome and safety of vaginal delivery after cesarean section. Methods 512 cases of scarred uterus who delivered in Tangxia Hospital of Dongguan and Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University from January to December 2014 and had a second pregnancy were retrospectively analyzed. Results Among 512 cases of scarred uterus,163 cases were vaginal trial labour (VBAC group),accounting for 31.84% of scarred uterus delivery.Among them,vaginal trial labourwas carried out successfully in 126 cases,with the successful rate of vaginal trial labour of 77.3%.Trial labourwas failed in 37 cases and switched to cesarean section,with the failure rate of trial labour of 22.7%;Cesarean section without trial labourwas performed in 349 cases (ERCS group),accounting for 68.16% of the scarred uterus pregnancy;386 out of the 512 cases of scarred uterus were given a second cesarean sec-tion(including 37 cases of failed vaginal trial labour),accounting for 75.39%of scarred uterus delivery.In the comparison of pregnancy outcome in VBAC group and ERCS group,VBAC group was higher than ERCS group in the volume and rate of postpartum bleeding,but VBAC group was shorter than ERCS group in the length of stay and lower than ERCS group in the medical expenses,which were statistically different(P<0.05).There were no statistical differences in the inci-dence rates of uterus rupture,blood transfusion rate,surgical trauma,postpartum fever,neonatal respiratory diseases, neonatal asphyxia and neonatal admission to NICU (P>0.05). Conclusion As for the pregnant women with a second pregnancy after cesarean section,if the indication of trial labour is properly understood,severe monitoring is performed during the labour,and vaginal trial labour is safe and feasible with a high successful rate,then the rate of cesarean sec-tion can be reduced to a certain extent.关键词
瘢痕子宫/剖宫产术/阴道试产/妊娠结局Key words
Scarred uterus/Cesarean section/Vaginal trial labour/Pregnancy outcome分类
医药卫生引用本文复制引用
李云秀,纪艳洁,陈敏红,祝丽琼..剖宫产术后阴道分娩的临床结局及安全性分析[J].中国当代医药,2015,(28):104-107,4.基金项目
广东省东莞市医疗卫生重点项目 （）
