二次剖宫产后分娩方式的选择

doi:10.3969/j.issn.1000-8535.2018.05.013

广州医药 ›› 2018, Vol. 49 ›› Issue (5): 52-56.DOI: 10.3969/j.issn.1000-8535.2018.05.013

二次剖宫产后分娩方式的选择

郭凯敏¹, 许可², 陈冠桦², 赖毓冕¹

1 广州市妇女儿童医疗中心妇产科(广州 510623);
2 广州医科大学第一临床医学院(广州 510000)

收稿日期:2018-04-11 出版日期:2018-09-20 发布日期:2021-11-29
通讯作者: 赖毓冕,E-mail:lym7105@126.com

Delivery mode choice after two previous cesarean sections

GUO Kaimin¹, XU Ke², CHEN Guanhua², LAI Yumian¹

1 Department of Obstetrics and Gynecology, Guangzhou Women and Children's Medical Center,Guangzhou 510623, China;
2 The First Clinical Medical School,Guangzhou Medical University, Guangzhou 510000, China

Received:2018-04-11 Online:2018-09-20 Published:2021-11-29

摘要/Abstract

摘要： 目的研究二次剖宫产后续妊娠的分娩方式。方法选取广州市妇女儿童医疗中心2015年8月1日—2017年12月31日的第三次及以上妊娠孕妇资料,要求前两次均为剖宫产,本次妊娠为头位单胎。分析本次妊娠相关因素及最终分娩方式、妊娠结局及围产儿情况。结果二次剖宫产后阴道分娩与急诊、择期剖宫产相比,三组子宫破裂、新生儿窒息等的发生率差异无统计学意义。成功阴道分娩者本次均为自然临产。结论二次剖宫产后,第三次妊娠分娩方式的选择包括顺产及剖宫产,在妊娠结局、母儿并发症方面差异无统计学意义,有阴道试产史是成功阴道分娩的有利因素。孕妇尤其是自然临产孕妇可在严密监护下选择阴道试产。

关键词: 二次剖宫产, 阴道试产, 阴道分娩

Abstract: Objective To study the delivery mode after two previous cesareans. Methods We selected pregnant women, single cephalic, following two previous cesareans in Guangzhou Women and Children Medical Center, from August 1, 2015 to December 31, 2017. Analysis of this pregnancy related factors and final delivery mode, the maternal and fetal morbidities were studied. Results There wasn't statistical significance in the incidence of uterine rupture, neonatal asphyxia among vaginal birth after two previous cesareans, selected cesarean section and emergency cesarean section. And the success cases of vaginal delivery are natural labor. Conclusion The delivery modes after two previous cesareans include vaginal delivery and cesarean section. There are no statistical significance in pregnancy outcomes. Vaginal trial history are the favorable factors of successful vaginal delivery. Especially in pregnant women with natural vaginal labor we can choose vaginal delievery under intensive care.

Key words: Twice cesarean section, Trial labour, Vaginal delivery

郭凯敏, 许可, 陈冠桦, 赖毓冕. 二次剖宫产后分娩方式的选择[J]. 广州医药, 2018, 49(5): 52-56.

GUO Kaimin, XU Ke, CHEN Guanhua, LAI Yumian. Delivery mode choice after two previous cesarean sections[J]. Guangzhou Medical Journal, 2018, 49(5): 52-56.

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二次剖宫产后分娩方式的选择

Delivery mode choice after two previous cesarean sections

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