Study on the way of pregnancy delivery after cesarean section / 中国基层医药

ABSTRACT

Objective@#To explore the choice of the best mode of delivery after cesarean section.@*Methods@#From January 2015 to December 2016, the clinical data of 2 526 pregnant women admitted in the Eighth People's Hospital of Taiyuan were retrospectively analyzed.A total of 971 cases were cesarean section, among them, the second cesarean section in 367 cases(control group B), cesarean section vaginal delivery in 604 cases(observation group). At the same period, another 186 cases with non-scar uterine pregnancy by vaginal delivery were selected as control group A. The maternal and child outcomes were compared among the three groups.@*Results@#The time of labor, postpartum hemorrhage, hospital stay, the incidence of neonatal asphyxia in the control group A were (6.30±3.03)h, (288.67±220.67)mL, (1.37±0.72)d, 3.76%, respectively, which in the control group B were (6.30±3.03)h, (415.87±356.20)mL, (4.32±0.83)d, 3.54%, respectively, which in the observation group were (5.98±2.87)h, (276.44±211.84)mL, (1.42±0.65)d, 3.48%, respectively.The postpartum hemorrhage of the control group B was significantly higher than that of the observation group[(415.87±356.20)mL vs.(276.44±211.84)mL], the difference was statistically significant(t=11.271, P<0.05). The length of hospital stay of the control group B was also longer than that of the observation group[(4.32±0.83)d vs.(1.42±0.65)d], the difference was statistically significant(t=18.034, P<0.05).@*Conclusion@#In the condition of emergency intercourse with cesarean section, it is safe and feasible to give the vagina trial to the pregnancy of cesarean section which meets the conditions of vaginal delivery.