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目的分析剖宫产后再妊娠临床分娩方式。方法选取2012年5月~2013年5月在本院待产剖宫产后再妊娠孕妇60例,对患者临床分娩方式的选择进行分析。结果 60例剖宫产在妊娠产妇中有42例再次选择剖宫产,占70.0%,其中25例产妇产后发生不良情况,不良情况发生率59.5%;18例产妇选择自然分娩试产,占30.0%,7例产妇产后发生不良情况,不良情况发生率为38.9%;再次剖宫产组产后不良情况发生率明显高于自然分娩试产组,(P<0.05)差异有统计学意义。结论有剖宫产史的产妇除有明确医学指征外不宜再次接受剖腹产,再次剖腹产具有一定的风险,手术出血量也会大于第一次剖宫产出血量。
Objective To analyze the clinical mode of delivery after cesarean section and pregnancy. Methods From May 2012 to May 2013, 60 pregnant women undergoing cesarean section after pregnancy were selected, and their clinical options were analyzed. Results 60 cases of cesarean section in pregnant women, 42 cases of re-selection of cesarean section, accounting for 70.0%, 25 cases of maternal postpartum unhealthy situation, the incidence of adverse events 59.5%; 18 maternal choose natural childbirth trial production, accounting for 30.0 %, 7 maternal postpartum unhealthy cases, the incidence of adverse events was 38.9%; cesarean section again postpartum adverse incidence was significantly higher than that of spontaneous labor trial group (P <0.05), the difference was statistically significant. Conclusion The pregnant women with history of cesarean section should not accept cesarean section again except for definite medical indications. Cesarean section may have a certain risk and the amount of bleeding during operation will be larger than that of the first cesarean section.