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中华妇幼临床医学杂志(电子版)

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2012, Vol. 08 ›› Issue (06): 733 -734. doi: 10.3877/cma.j.issn.1673-5250.2012.06.015

Special Issue: ；

Original Article

Study of Key Success Factors About Vaginal Delivery With Repeated Pregnancy After Cesarean Section

Hai-yan ZHANG1, Tian-cheng WANG2()   

  1. 1. Department of Gynecology and Obstetrics, Nanjing Maigaoqiao Hospital, Nanjing 210028, Jiangsu Province, China
  • Received:2012-08-01 Revised:2012-11-05 Published:2012-12-01
  • Corresponding author: Tian-cheng WANG
  • About author:
    (Corresponding author: WANG Tian-cheng, Email: )
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Objective

To investigate the delivery of repeated pregnancy after cesarean section. Evaluate the likelihood of vaginal birth after caesarean(VBAC).

Methods

There were 116 pregnant women with previous cesarean section delivery who would delivery again from March 2009 to December 2011 in Nanjing Maigaoqiao Hospital.Their outcomes were analyzed by retrospective analysis method. Informed consent was obtained from all participants.

Results

Among 116 pregnant women of 15 cases (12.9%)of vaginal trial production, 10 cases(66.6%, 10/15) were successful. Once again the cesarean section rate was 91.4%(106/116). There were 27 cases(23.3%) who had vaginal production conditions but chose elective cesarean section. Formerly medical history of previous cesarean section delivery were not clear of 13 cases (11.2%) who also chose elective cesarean section. There had significance difference between actual cesarean section rate and indication for caesarean section rate(P<0.05).

Conclusions

Repeated pregnancy after cesarean section delivery is not absolute indications for cesarean section.To meet the requirements of the pregnant women can vaginal delivery in intensive care.

Key words: cesarean section, pregnancy, delivery mode
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