Clinical analysis on delivery mode of subsequent pregnancy after cesarean section

Objective:To understand the choice of delivery mode of subsequent pregnancy after cesarean section.Methods:110 pregnant women with the history of cesarean section were selected from the hospital,their delivery mode and delivery outcome of subsequent pregnancy were analyzed.According to the demands of the pregnant women,62 pregnant women chose secondary cesarean section and 48 pregnant women chose vaginal delivery.The effects of the two delivery modes on maternal and infantile outcomes were compared in terms of hospitalization time,the amount of blood loss,puerperal infection,neonatal infection and asphyxia.Results:The effects on lying-in women: ①the amount of blood loss: the amounts of blood loss in cesarean section group and vaginal delivery group were(290.69±5.63) ml and(162.4±8.3) ml,respectively,there was significant difference between the two groups(P0.05);②hospitalization time: the hospitalization times of cesarean section group and vaginal delivery group were(7.32±1.04) days and(3.14±0.89) days,respectively,there was significant difference between the two groups(P0.05);③puerperal infection: the proportions of puerperal infection in cesarean section group and vaginal delivery group were 12.9%(8 cases) and 2.08%(1 case),respectively,there was significant difference between the two groups(P0.05).The effects on infants: ①neonatal infection: the incidences of neonatal infection in cesarean section group and vaginal delivery group were 4.84%(3 cases) and 2.08%(1 case),respectively,there was no significant difference between the two groups(P 0.05);②neonatal asphyxia: the incidences of neonatal asphyxia in cesarean section group and vaginal delivery group were 3.23%(2 cases) and 2.08%(1 case),respectively,there was no significant difference between the two groups(P 0.05).Conclusion:When the pregnant women with the history of cesarean section want to select delivery mode,they can consider vaginal delivery.