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目的探讨剖宫产术后足月妊娠阴道分娩的可行性。方法对2011年7月至2012年6月临颍县人民医院收治的109例剖宫产术后足月妊娠符合阴道试产者的分娩方式等进行分析,将剖宫产术后足月妊娠阴道试产成功者与足月妊娠阴道生产者进行对照,将剖宫产术后足月妊娠阴道试产成功者与术后再次剖宫产分娩者进行对照。结果剖宫产术后阴道分娩者与非剖宫产经阴道分娩者出血量及产程时间比较差异无统计学意义(P>0.05)。剖宫产术后经阴道分娩者与术后再次剖宫产者出血量、住院时间及费用比较差异有统计学意义(P<0.01)。结论产前对剖宫产术后足月妊娠进行充分评估分析,严格掌握阴道试产指征,严密产程监护,部分剖宫产术后足月妊娠阴道分娩是安全可行性的。
Objective To investigate the feasibility of vaginal delivery after full-term pregnancy after cesarean section. Methods From July 2011 to June 2012, 109 cases of full-term pregnancy after cesarean section admitted to Linying People’s Hospital were analyzed according to the method of delivery of vaginal intercourse. After vaginal delivery of full-term pregnancy Successful trial and vaginal production of pregnant women were controlled, the full-term pregnancy after cesarean section vaginal delivery and postoperative cesarean delivery again were controlled. Results There was no significant difference in bleeding volume and labor duration between vaginal delivery and non-cesarean delivery after cesarean section (P> 0.05). The amount of bleeding, length of hospital stay and cost of cesarean section after cesarean delivery were statistically significant (P <0.01). Conclusions Prenatal full-term pregnancy after cesarean section to fully assess the analysis of strict grading vaginal pilot indications, strict labor care, partial cesarean section full-term pregnancy after vaginal delivery is safe and feasible.