目的：探究剖宫产术后再次妊娠分娩方式的选择。方法：选择笔者所在医院2008年10月-2013年10月203例剖宫产术后再次妊娠产妇，其中42例阴道试产产妇作为观察组，161例再次剖宫产产妇作为对照组，并做统计分析。结果：观察组阴道试产成功率为73.81%。观察组产中出血量明显低于对照组，差异有统计学意义(t=5.06，P=0.03)；观察组产程明显低于对照组，差异有统计学意义(t=5.72， P=0.04)；观察组产后血量发生率明显低于对照组，差异有统计学意义(χ2=5.26，P=0.02)；观察组产后发热发生率明显低于对照组(χ2=4.71， P=0.03)；观察组住院时间明显少于对照组，差异有统计学意义(t=2.08，P=0.03)；观察组费用明显少于对照组，差异有统计学意义(t=2.15， P=0.02)。结论：剖宫产术后再次妊娠产妇若具备阴道试产条件建议阴道分娩，能够减少手术创伤和产后出血等并发症的发生率，同时降低社会剖宫产率。%Objective:To explore the way of delivery of pregnancy after cesarean section selection.Method:203 cases of pregnancy delivery after cesarean section maternal from October 2008 to October 2013 in our hospital obstetrics were selected,including 42 cases of vaginal delivery were treated as observation group,161 cases of recesarean section as the control group,and did analysis.Result:The success rate of observation group was 73.81%. The production bleeding of observation group was significantly lower than that of the control group,the difference was statistically significant(t=5.06, P=0.03);The labor of observation group was significantly lower than that of the control group ,there was statistically significant difference(t=5.72, P=0.04);The incidence of postpartum blood volume of observation group was lower than that of the control group,there was statistically significant difference(χ2=5.26,P=0.02);The incidence of puerperal fever of observation group was lower than that of the control group,there was statistically significant difference(χ2=4.71,P=0.03).The observation group hospitalization time was significantly less than that of the control group,there was statistically significant difference(t=2.08,P=0.03); The cost of observation group significantly less than the control group,there was statistically significant difference(t=2.15,P=0.02).Conclusion:If have vaginal trial production conditions should be vaginal delivery,it can reduce surgical trauma of maternal postpartum hemorrhage and the incidence rate of society,while reducing cesarean section rate.
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