[摘要] 目的 剖宫产术后瘢痕子宫再次妊娠分娩方式对母婴结局及出血量的影响进行调研和分析。 方法 方便选择2017年8月—2019年8月该院剖宫产术后瘢痕子宫再次剖宫产分娩的孕妇40例(对照组)，同时期该院剖宫产术后瘢痕子宫经阴道分娩的孕妇40例(观察组)。观察并对比两组产妇分娩情况以及新生儿情况。结果 观察组产妇住院时间短于对照组，住院费用以及产中出血量少于对照组，差异有统计学意义(P<0.05);观察组产妇产后大出血以及产褥感染率2.50%、0.00%低于对照组12.50%、7.50%(χ21=7.207，χ22=7.792，P<0.05);观察组正常新生儿占比92.50%明显高于对照组72.50%(χ2=13.853，P<0.05)。结论 在剖宫产术后瘢痕子宫再次妊娠孕妇分娩时，采用瘢痕子宫阴道分娩方法的临床效果较好。

    [关键词] 瘢痕子宫;再次妊娠;分娩方式;母婴结局

    [Abstract] Objective To investigate and analyze the effects of the method of recurrent pregnancy and delivery of scar uterus after cesarean section on maternal and infant outcomes and bleeding volume. Methods Forty pregnant women with cesarean section delivery after cesarean section in the hospital from August 2017 to August 2019 (control group) were conveniently selected. 40 pregnant women(observation group). Observe and compare the birth and delivery status of the two groups. Results The length of stay in the observation group was shorter than that in the control group ......