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目的分析妊娠结局的各类高危影响因素,探讨剖宫产后再次妊娠产妇的临床处理方案。方法取126例剖宫产术后再次妊娠的妇女作为本次研究对象,针对其临床资料展开回顾性分析,根据分娩方式不同将其分为阴道分娩组(62例)和剖宫产组(64例),对比两组产妇产褥病率、24 h出血量、住院费用与住院时间。结果与剖宫产组相比,阴道分娩组产妇产褥病、24 h出血量率更低,住院时间更短,住院费用更少,组间比较差异有统计学意义(P<0.05)。结论对于符合试产指征的产妇来说,阴道试产是相对安全的,同时有利于阴道分娩质量的提高;对剖宫产指征的严格掌握有利于控制剖宫产率,提高顺产率,对母婴双方具有积极的临床意义。
Objective To analyze the influencing factors of various types of high risk pregnancy outcomes and to explore the clinical management of pregnant women after cesarean section. Methods A total of 126 women who were re-pregnant after cesarean section were enrolled in this study. The clinical data were retrospectively analyzed. According to different modes of delivery, they were divided into vaginal delivery group (62 cases) and cesarean section group (64 cases) Cases), comparing the two groups of puerperal morbidity, 24 h bleeding, hospitalization costs and length of stay. Results Compared with the cesarean section group, the puerperal vaginal delivery group had a lower rate of bleeding at 24 hours, shorter hospitalization time and less hospitalization expense, with statistically significant differences between the two groups (P <0.05). Conclusions The trial of vaginal delivery is relatively safe and suitable for improving the quality of vaginal delivery. The strict mastery of indications for cesarean delivery is helpful to control the rate of cesarean section, improve the yield, Both mother and child have a positive clinical significance.