Maternal and Neonatal Outcomes of Different Delivery Modes for 218 Re-pregnant Women after Cesarean Section

Objective To explore the maternal and neonatal outcomes of different delivery modes for 218 re-pregnant women after Cesarean section. Methods A total of 218 cases of re-pregnant women after Cesarean section were admitted into Yan' an University Hospital from Feb. 2009 to Feb. 2012,and all the women's clinical data were retrospectively analyzed. Results Among the 218 women,45 cases had success vaginal delivery in 52 women who went for trials forming a success rate of 86. 5%,173 cases( 79. 4%) had Cesarean section; the main reason for re-Cesarean section was social factor( 30. 6%). Postpartum hemorrhage for vaginal birth group and Cesarean section group were[( 170. 82 ± 15. 29) mL vs( 351. 27 ± 32. 18) mL]( P 0. 05); there were 4 cases and 35 cases with postpartum hemorrhage in vaginal delivery group and Cesarean section group,respectively,3 cases and 21 cases with puerperal infections,and 0 and 3 cases with neonatal asphyxia; neonatal birth weight for vaginal delivery group and Cesarean section group were( 3. 26 ± 0. 72) kg and( 3. 31 ± 0. 78) kg( P 0. 05),5 min postpartum Apgar scores of vaginal delivery group and Cesarean section group were( 9. 01 ± 0. 26) and( 9. 07 ± 0. 30),respectively,and the difference was not statistically significant( P 0. 05). Conclusion Vaginal birth mode for re-pregnancy after Cesarean section has high successful rate,which can reduce the complications with small influence on maternal.