二次剖宫产后分娩方式的选择

来源期刊：广州医药 | 52-56 发布时间：2021-11-29 收稿时间：2025/11/13 17:18:41 阅读量：25

作者：: 郭凯敏,

许可,

陈冠桦,

赖毓冕,

关键词：: 二次剖宫产阴道试产阴道分娩; Twice cesarean section Trial labour Vaginal delivery

DOI：: 10.3969/j.issn.1000-8535.2018.05.013

收稿时间：: 2018-04-11
修订日期：
接收日期：
引用总数：: 0

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。

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