[1]王香华*,彭菊兰,罗小雨.剖宫产术后阴道分娩成功因素及母婴结局的临床研究[J].中国计划生育和妇产科,2017,(10):41-44.
　WANG Xiang-hua*,PENG Ju-lan,LUO Xiao-yu.Clinical study on success factors and maternal - fetal outcomes of vaginal delivery after cesarean section[J].Chinese Journal of Family Planning & Gynecotokology,2017,(10):41-44.
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剖宫产术后阴道分娩成功因素及母婴结局的临床研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年10期
页码:
41-44
栏目:
论著与临床
出版日期:
2017-10-25

文章信息/Info

Title:
Clinical study on success factors and maternal - fetal outcomes of vaginal delivery after cesarean section
作者:
王香华*; 彭菊兰; 罗小雨
深圳市龙华新区人民医院妇产科
Author(s):
WANG Xiang-hua*; PENG Ju-lan; LUO Xiao-yu
Department of Obstetrics and Gynecology,Shenzhen Longhua New District People’s Hospital, Shenzhen Guangdong 518109,P.R.China
关键词:
剖宫产后阴道分娩;  成功因素;  母婴结局
Keywords:
vaginal delivery after cesarean section;  success factors;  outcomes
分类号:
R 714.3
摘要:
目的探讨影响剖宫产术后阴道分娩成功的因素以及母婴结局。方法回顾性分析2013~2016年深圳市龙华新区人民医院收治的1 638名剖宫产术后阴道试产孕妇，根据阴道试产成功与否分为阴道分娩成功组（1 038名）和阴道试产失败组（600名）。对比两组的产后出血率、子宫破裂率以及新生儿窒息率，总结影响剖宫产术后阴道分娩相关因素，影响母婴结局的相关因子。结果孕妇剖宫产术后阴道分娩情况与年龄、产前体质量指数（body mass index,BMI）、入院宫口的扩张情况、上次剖宫产手术时间、是否紧急入院及有无阴道分娩史之间有关联；两组孕妇的产后出血率、子宫破裂率及新生儿窒息率比较差异均有统计学意义（P<005）。结论剖宫产术后阴道分娩成功与孕妇年龄≤35岁、产前BMI<30 kg/m2、距离上次剖宫产手术时间<10年、有阴道分娩史、紧急入院以及入院时宫口扩张≥6 cm密切相关。
Abstract:
ObjectiveTo explore the success factors and maternal- fetal outcomes of vaginal delivery after cesarean section.MethodsRetrospective analyzed 1 638 vaginal trial production of pregnant women in Shenzhen Longhua New District People’s Hospital from January 2013 to December 2016, including 1 038 cases of successfull vaginal delivery after cesarean section group and 600 cases of vaginal trial failure group.Compared the deferences between the two groups to summarize the factors that affect the success of vaginal delivery after cesarean section. Compared the two groups of postpartum hemorrhage rate, uterine rupture rate and neonatal asphyxia rate, to sum up factors affecting maternal and child outcomes of vaginal delivery after cesarean section. ResultsVaginal delivery situations have correlations with the maternal age, prenatal BMI, expansion of the cervix, last cesarean section time, the last time of cesarean section,whether it is an emergency admission and whether or not vaginal birth history(P<005). There were significant differences in postpartum hemorrhage rate, uterine rupture rate and neonatal asphyxia rate between the two groups of pregnant women（P<005）. ConclusionAge≤35, prenatal BMI<30 kg/m2,＜10 years from the last cesarean section operation,history of vaginal delivery, emergency admission and expansion of the cervix≥6 cm are correlated with successfull vaginal delivery after cesarean section.

参考文献/References:

［1］BULLETIN A P. 115:vaginal birth after previous cesarean delivery ［J］. Obstetrics and Gynecology, 2010, 116 (2): 450-463. ［2］邓秋．浅析剖宫产新生儿窒息的原因分析 ［J］．中国医药指南，2013，11（33）：195-196． ［3］Villar J, Carroli G, Zavaleta N, et al. Maternal and neonatal individual risks and benefits associated with cesarean delivery: multicentre prospective study ［J］. BMJ, 2007, 335(7628):1025. ［4］张小勤．剖宫产术后再次妊娠177例分娩方式分析 ［J］．中国实用妇科与产科杂志，2006，22（1）：57-58． ［5］张为远．中国剖宫产现状与思考 ［J］．实用妇产科杂志，2011，27（3）：161-163． ［6］冯骥，张忠琴，万美霞．剖宫产后再次妊娠经阴道分娩成功的相关因素分析 ［J］．现代妇产科进展，2014，23（9）：740-741． ［7］张建平，王婴华．子宫破裂的诊断与治疗 ［J］．中国实用妇科与产科杂志,201l，2（27）：118-120． ［8］王红菊，张小丽．剖宫产术后再次妊娠阴道试产结局的预测模型 ［J］．中国实用医药，2010，5（25）：87-88．

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[1]方建红,卢伟*,梁金丽,等.剖宫产后阴道分娩的影响因素初探[J].中国计划生育和妇产科,2018,(11):67.
　FANG Jian-hong,LU Wei*,LIANG Jin-li,et al.Preliminary study on the influencing factors of vaginal delivery after cesarean section[J].Chinese Journal of Family Planning & Gynecotokology,2018,(10):67.
[2]陈震宇,孙静莉*,陈晓明,等.剖宫产术后再次妊娠阴道分娩的妊娠结局[J].中国计划生育和妇产科,2020,(5):58.
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更新日期/Last Update: 2017-10-25