The study of best time to terminate pregnancy of pregnant women with cesarean again

Objective To sample and analyze cesarean again sections in pregnant women and perinatal outcome of perinatal period and explore the best time to terminate pregnancy of pregnant women with cesarean again. Methods All maternal medical records from January 1,2013 to December 31,2014 maternity hospital delivery were counted,all puerperas with more than 37 weeks gestation singleton and elective repeat cesarean section was selected as the research object and contrasting the difference in gestational weeks: 37 to 37+ 622 cases,38 to 38+ 656 cases,39 to 39+ 675 cases and 40 weeks 17 cases. Pregnant women terminating pregnancy in different gestational weeks was compared in general medical record data,conditions after the pregnancy,neonatal conditions and the incidence of adverse events through single factor analysis of variance orχ2test. Results There was statistically significant differences( P 0. 05) in different gestational age,maternal hospitalization time projects,et al,but there were no significant differences( P 0. 05) in different pregnant weeks postpartum hemorrhage,ICU,premature rupture of membranes,too small amniotic fluid and the uterus resection,et al. Birth body length,birth weight,Apgar score differences( 1 min and 10 min) and neonatal adverse events of pregnancy 39 to 39+ 6weeks group was better than the other three groups,the number of adverse events and the occurrence rate was lower than the other three groups,there was statistically significant difference( P 0. 05). Conclusion The proportion of hospital39 week of pregnancy undergoing elective cesarean section again are high,and the incidence of adverse events of pregnant women and neonatal of the gestational weeks of termination of pregnancy was low. 39- weeks of pregnancy is the best time to elective repeat cesarean section.