目的：探讨疤痕子宫再次妊娠经阴道分娩的可行性。方法：回顾性分析再次妊娠的产妇142例，其中70例剖宫产术后再次妊娠产妇作为治疗组（均为第二产次），72例为正常分娩后再次妊娠产妇作为对照组（均为第二产次）。结果：两组产妇经阴道分娩的成功率、婴儿 APORG 评分、术后并发症发生情况，两组间差异无统计学意义（P ﹥0.05）。结论：对剖宫产术后疤痕子宫再次妊娠者加强孕期管理，仔细评估，其中具备阴道分娩条件者应鼓励孕妇阴道试产，在严密观察监护下是可以成功阴道分娩的。%Objective To discuss the scar uterus during pregnancy again the feasibility of vaginal delivery. Method Retrospectively analyze on 142 therapy cases of secondary pregnant women. Among these cases,we regard it as a comparison group for 70 cases of secondary pregnancy women after caesarean section childbirth(all second childbirth),and regard it as another comparison group for 72 cases of sec-ondary pregnancy women after vaginal childbirth(all secondary childbirth). Results These 2 groups had no significant and meaningful difference in terms of success rate of vaginal delivery,baby's APORG audit,and the incidence of complication. Conclusion It needs to strengthen management on pregnancy period,audit carefully and choose appropriate childbirth ways. It needs to encourage pregnant women to vaginal delivery who have this condition,but the delivery period should be observed very closely.
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