剖宫产后再次妊娠不同分娩方式对分娩结局的影响

发布时间：2018-11-12 20:35

【摘要】：[目的]回顾性分析剖宫产后再次妊娠孕妇选择不同分娩方式对分娩结局的影响,说明剖宫产后再次妊娠经阴道分娩的可行与安全,并提供循证依据。[方法]收集2016年1月—2016年10月在山西省妇幼保健院分娩产妇的临床资料,采用病例对照研究,以剖宫产后再次妊娠经阴道分娩的产妇为观察组,设两组对照,为剖宫产后再次妊娠行剖宫产组(RCS组)和阴道分娩后再次妊娠经阴道分娩组(正常组),分析不同分娩方式对分娩结局的影响。[结果]剖宫产后再次妊娠再次行剖宫产的产妇占剖宫产后再次妊娠分娩总数的80.58%(386/479)。VBAC组与正常对照组比较,总产程分别为11.3h±1.49h、7.4h±0.82h,差异有统计学意义(P0.05)。VBAC组与RCS组比较,RCS组住院天数、住院费用、产后出血量、发热情况均高于VBAC组(P0.05)。[结论]剖宫产后再次妊娠经阴道分娩产妇的产后出血量、发热率、住院时间及费用均低于剖宫产后再次妊娠再次剖宫产的产妇,具有较高的安全性与可行性。
[Abstract]:[objective] to analyze retrospectively the influence of different delivery methods on the outcome of pregnancy after cesarean section, to explain the feasibility and safety of vaginal delivery after cesarean section, and to provide evidence-based basis. [methods] the clinical data of parturient delivered in Shanxi Maternal and Child Health Hospital from January 2016 to October 2016 were collected. A case-control study was carried out. The effects of different delivery methods on the outcome of labor were analyzed in the RCS group and the normal group. [results] after cesarean section, 80.58% of the total number of post-caesarean pregnancies were delivered by cesarean section. Compared with the control group, the total delivery process was 11.3 h 卤1.49 h and 7.4 h 卤0.82 h, respectively, in the 386 / 479). VBAC group, compared with the normal control group. The difference was statistically significant (P0.05 between). VBAC group and RCS group, RCS group hospitalization days, hospital expenses, postpartum hemorrhage, fever were higher than VBAC group (P0.05). [conclusion] the postpartum bleeding, fever rate, hospitalization time and cost of the parturient after cesarean section are lower than those of the pregnant women who are pregnant again after cesarean section, which has higher safety and feasibility.
【作者单位】：山西医科大学;山西省妇幼保健院;山西省临汾市第四人民医院;
【基金】：山西省卫生计生委科研课题,编号:201601076
【分类号】：R473.71

【相似文献】