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剖宫产术后再次妊娠经阴道分娩的相关影响因素

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目的 探讨剖宫产术后再次妊娠时经阴道分娩的影响因素.方法 选取本院80例剖宫产后再次妊娠孕妇为研究对象,根据分娩方式不同划分为经阴道分娩组与剖宫产组,各40例.回顾性分析两组的基础资料,包含年龄、产次、孕前体质量指数、上次剖宫产间隔时间等,总结分析剖宫产术后再次妊娠经阴道分娩的影响因素.结果 多因素分析结果显示,年龄≤30岁、孕前体质量指数≤25kg/m2、上次剖宫产间隔时间>2年、子宫下段厚度>2 mm、分娩前子宫颈Bishop评分>5分、有不良妊娠结局史是剖宫产术后再次妊娠经阴道分娩的影响因素(P<0.05).结论 年龄、孕前体质量指数、上次剖宫产间隔时间、子宫下段厚度、分娩前子宫颈Bishop评分、不良妊娠结局史是剖宫产术后再次妊娠经阴道分娩的影响因素,临床需要在分娩前高度重视,提前做好相关准备,以尽可能提高经阴道分娩成功率,改善母婴结局,提升分娩质量.
Related influencing factors of vaginal delivery for recurrent pregnancy after cesarean section
Objective To explore the influencing factors of vaginal delivery during re pregnancy after cesarean section.Methods 80 pregnant women who had re conceived after cesarean section in our hospital were selected as the research subjects.According to different delivery methods,they were divided into a vaginal delivery group and a cesarean section group,with 40 cases in each group.Retrospective analysis of the basic data of two groups,including age,parity,pre pregnancy body mass index,and interval between last cesarean section,to summarize and analyze the influencing factors of re pregnancy and vaginal delivery after cesarean section.Results The multi factor analysis showed that age ≤30 years old and pre pregnancy body mass index ≤25 kg/m2、The interval between last cesarean section>2 years,the thickness of the lower segment of the uterus>2 mm,the Bishop score of the cervix before delivery>5 points,and a history of adverse pregnancy outcomes are the influencing factors for vaginal delivery after cesarean section(P<0.05).Conclusion Age,pre pregnancy body mass index,interval between last cesarean section,thickness of the lower segment of the uterus,Bishop score of the cervix before delivery,and history of adverse pregnancy outcomes are influencing factors for re pregnancy and vaginal delivery after cesarean section.Clinical attention should be paid to pre delivery,and relevant preparations should be made in advance to maximize the success rate of vaginal delivery,improve maternal and infant outcomes,and enhance delivery quality.

Cesarean section surgeryRe pregnancyVaginal deliveryInfluence factor

季滢、李寅红、邹美林、肖黎明

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如皋市人民医院 妇产科,江苏 如皋 226500

剖宫产手术 再次妊娠 经阴道分娩 影响因素

如皋市科技攻关计划

SRG[22]1089

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(5)
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