Analysis of the effect and safety of cesarean section and vaginal delivery in cesarean section
10.3760/cma.j.issn.1008-6706.2018.05.019
- VernacularTitle:剖宫产术后再次妊娠的分娩方式选择分析
- Author:
Jing ZHANG
1
;
Ying ZHANG
Author Information
1. 太原市第八人民医院妇产科
- Keywords:
Cesarean section;
Repregnancy;
Delivery;
Safety
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(5):617-620
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect and safety of cesarean section delivery and vaginal delivery in cesarean section pregnancy.Methods 600 cases of maternal cesarean section were divided into two groups according to the delivery method.The cesarean section delivery group used cesarean section delivery ,the vaginal delivery group used vaginal delivery.The average rate of postoperative hospitalization ,the average hospitalization cost ,neonatal Apgar score,neonatal body weight,neonatal asphyxia,postpartum hemorrhage,puerperal infection,the incidence rate of incision poor healing were compared between the two groups .Results 1 case of neonatal asphyxia,2 cases of postpartum hemorrhage,2 cases of puerperal infection and 1 case of incision poor healing were found in the vaginal delivery group,which in the cesarean section group were 5 cases,10 cases,9 cases,6 cases,respectively,the differences between the two groups were statistically significant (χ2 =4.356,5.662,5.332,4.924,all P <0.05).The blood loss,total duration of labor,average time of hospitalization ,the average hospitalization cost in the vaginal delivery group were (123.51 ±11.41)mL,(7.51 ±2.61)h,(7.62 ±1.21)d and (2316.51 ±121.61)yuan,respectively,which were significantly better than those of the cesarean section group [(263.39 ±212.77) mL,(9.39 ±3.57) h,(9.61 ± 2.59)d,(3847.39 ±222.57) yuan,t =8.271,9.020,10.701,12.134,all P <0.05].The Apgar score,neonatal weight between the two groups had no statistically significant differences (t =0.274,1.255,all P >0.05).Conclusion Cesarean section pregnancy in pregnant women with vaginal delivery indications for the use of vaginal delivery has better safety,can effectively reduce the occurrence of postpartum hemorrhage ,shorten the labor,shorten the maternity hospitalization time,reduce the burden of medical care,reduce the mother infant complications,it is worthy of promoting.
