Delivery mode of 158 cases with repregnancy after caesarean section

Objective: To explore the delivery mode for repregancy after caesarean section.Methods: Clinical data of 158 cases with repregancy after caesarean section admitted from Oct 2000 to Oct 2010 were retrospectively analyzed,including delivery mode,delivery outcome and maternal and neonatal complication,including 115 with a second caesarean section served as observation group 1,and 43 with vaginal delivery after caesarean section served as observation group 2.Another 158 cases with pregnancy after caesarean section were selected as control group,including 115 with caesarean section and 43 with vaginal delivery.The delivery mode,delivery outcome and maternal and neonatal complication were compared.Results: In observation group,66 had vaginal delivery,in which 43 had successful surgery(65.2%);115 had caesarean section with successful rate as 72.8%.There was no significant difference in incidence of neonatal asphyxia,hemorrhage during delivery and uterine rupture and neonatal weight between observation group 2 and control group(P0.05).The bleeding volume of patients with a second caesarean section was more than patients with vaginal delivery.The average hospitalization duration was significantly longer(P0.01) and the incidences of hemorrhage,severe adhesion and poor incision healing were significantly higher in caesarean section group(P0.05).Conclusions: Caesarean section is not the only option for delivery of patients with one caesarean section.Vaginal delivery under strict monitoring is safe.