Clinic research on delivery mode selection of re-pregnancy after cesarean delivery
10.3760/cma.j.issn.1008-6706.2016.10.023
- VernacularTitle:剖宫产术后再次妊娠分娩方式选择的临床研究
- Author:
Hong WANG
;
Lei WANG
;
Yahua CHENG
- Publication Type:Journal Article
- Keywords:
Re -pregnancy after cesarean delivery;
Delivery mode selection;
Influence factor
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(10):1520-1522,1523
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the main reason of re -pregnant patients'delivery mode selection after cesarean delivery and to guide the future clinical work.Methods Retrospectively analyzed the 181 cases of re -pregnancy after cesarean delivery and compare the clinical data of 140 cases of reselecting cesarean delivery with 41 cases of selecting vaginal trial production.Results Calculated the risks of vaginal trial production and cesarean delivery of scarred uterus by Smith formula.There was no statistically significant difference in two groups (P >0.05). Reselection of cesarean delivery accounted for 77.0% among the cases of re -pregnancy after cesarean delivery.In the investigation on the reason for re -pregnant patients reselecting cesarean delivery,38 patients chose cesarean delivery for the first time owing to social factors,accounted for 27.1%,taking the first place.While in the investiga-tion on the reason for re -pregnant patients selecting vaginal trial production,10 patients were operated on cesarean section for the first time due to fetal distress,accounted for 24.4%,coming first.Conclusion In the investigation on the reason for re -pregnant patients reselecting cesarean delivery,the result shows that the high possibility of reselect-ing cesarean delivery lies on those who chose cesarean delivery for the first time owing to social factors.While those who were transferred to cesarean section due to abnormal fetal heart rate during the first vaginal trial production,may have high possibility to select vaginal trial production when re -pregnancy.As a result,the key is to decrease the rate of cesarean delivery for the first time.
