[摘要] 目的:探讨瘢痕子宫再次妊娠阴道分娩的可行性,降低剖宫产率。方法:对我院2008年1月～2009年12月剖宫产后再次妊娠的258例孕妇进行回顾性分析。结果:258例中,择期剖宫产153例,阴道试产105例,有80例试产成功,成功率为76.2%。结论:瘢痕子宫并非再次剖宫产的绝对指征,若无剖宫产指征,应给以阴道试产。

    [关键词] 瘢痕子宫;再次妊娠;分娩方式。

    [中图分类号] R714[文献标识码] B[文章编号] 1673-7210(2010)05(a)-197-02

    Study on the delivery way of the pregnant woman with scar uterus

    LIU Qunxiang, DU Yuqin

    (Zhangmutou People's Hospital of Dongguang City, Dongguang 523633, China)

    [Abstract] Objective: To study the delivery way of the pregnant woman with scar uterus to reduce the rate of caesarean birth. Methods: 258 cases of pregnant women in our hospital from January 2008 to December 2009, who had ever been practiced caesarean birth operation were analyzed. Results: Of 258 cases, 153 cases of elective cesarean section, vaginal trial production of 105 cases, there were 80 cases of trial production success, the success rate was 76.2%.Conclusion: Scar uterus is not the absolute indication for the second-time caesarean birth. If there is no caesarean birth indication, the vagingal delivery should be tried. ......