Influence of primary caesarean section on re -caesarean operation of advanced pregnant women / 中国基层医药

ABSTRACT

Objective To investigate the influence of primary caesarean section on re -caesarean operation of advanced pregnant women.Methods 251 advanced pregnant women were chosen to research,and they were divid-ed into research group(traditional abdominal longitudinal incision)and control group (novel abdominal transverse incision)by primary caesarean section.The clinical indicators,abdominal adhesion and complication occurrence between the two groups were compared.Results Operation time[(57.98 ±12.26)min vs.(78.39 ±17.54)min], amount of bleeding during operation[(248.59 ±17.32)mL vs.(377.18 ±56.04)mL],anal exhaust time[(40.26 ± 7.25)h vs.(56.02 ±8.23)h]and length of stay[(7.21 ±2.06)d vs.(9.94 ±3.13)d]of the research group were all lower than the control group,the differences were statistically significant (t =10.576,24.018,16.129,8.069,all P <0.05).The severity of abdominal adhesion of the research group was lighter than the control group,and the differ-ence was statistically significant (U =2.601,P <0.05).No severe complications such as asphyxia occurred in the two groups.Postpartum hemorrhage and abdominal adhesion occurrence in the research group were lower than the control group ,there was significant difference in abdominal adhesion between the two groups (χ2 =1 8 .8 6 2 ,P <0.05).Conclusion Primary caesarean section has influence on clinical indicator,abdominal adhesion severity and complications in re -caesarean operation of advanced pregnant women,and novel abdominal transverse incision has greater influence,traditional abdominal longitudinal incision little.