Influencing factors of vaginal birth after cesarean in re-pregnancy puerperae and mother-infant outcomes analysis
10.7619/jcmp.201807021
- VernacularTitle:剖宫产术后再次妊娠经阴道分娩成功的因素及母婴结局分析
- Author:
Liping ZHANG
1
;
Yujiao YANG
;
Wenqiong ZENG
;
Xiaoqiong LI
Author Information
1. 江苏省淮安市妇幼保健院产科
- Keywords:
vaginal delivery after cesarean section;
influencing factors;
maternal and child outcomes;
uterine rupture;
neonatal asphyxia rate
- From:
Journal of Clinical Medicine in Practice
2018;22(7):78-81
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors of vaginal birth after cesarean (VBAC) in re-pregnancy puerperae and mother-infant outcomes.Methods A total of 290 re-pregnant women after cesarean were enrolled in the study,and 210 pregnant women were successfully given vaginal delivery,among whom 180 cases with vaginal birth were selected as the observation group,and 80 cases with cesarean section were as control group.The factors affecting the success of vaginal delivery after cesarean section were analyzed,and the maternal and neonatal outcomes between the two groups were compared.Results The univariate analysis showed that fetal head position,fetal abdominal circumference,fetal biparietal diameter,uterine height,premature rupture of membranes,Bishop score,and epidural anesthesia of two groups were statistically significant(P ＜ 0.05);Multivariate logistic regression analysis showed that Bishop score,fetal abdominal circumference,fetal head position,and epidural anesthesia were independent influencing factors of VBAC success (P ＜ 0.05).The incidence rates of uterine rupture,the rate of neonatal asphyxia,hospitalization rate,Apgar score of two groups showed no significant difference (P ＞ 0.05).The bleeding rates at 2,24 h in the observation group were lower than that in the control group (P ＜ 0.05).Conclusion There are various factors that affect the success of vaginal delivery after cesarean section,and prenatal examination should be scientifically evaluated.If there is no indication of cesarean section,maternal vaginal delivery should be guided to improve the maternal and child outcomes and life quality of mother and child.
