Analysis of maternal and infant outcome and related factors of pregnant women with vaginal delivery after cesarean section

Abstract

Objective To analyze the maternal and infant outcome and influencing factors of pregnant women undergoing trial delivery of vaginal delivery after cesarean section. Methods A retrospective study of 116 pregnant women who underwent cesarean section after pregnancy was performed in hospital. Among the 116 pregnant women, 69 pregnant women who underwent vaginal trial success were selected as the observation group and 47 pregnant women of vaginal trial delivery failure of cesarean section were selected as the control group. The clinical data of the maternal and maternal and infant outcomes were compared, and the factors that affected the success of vaginal trial production were analyzed. Results The bleeding volume and the incidence of puerperium infection in the observation group were significantly lower than those in the control group (P<0.05). After univariate analysis and multivariate logistic regression analysis, the vaginal delivery history, vaginal delivery weeks, distance from cesarean section and prediction of newborn body weight were independent factors influencing the success rate of retesting vaginal pregnancy after cesarean section (P<0.05). Conclusions Vaginal trial of cesarean section after pregnancy in pregnant women with vaginal trial will help to improve the outcome of maternal and infants, it is an ideal mode of delivery of newborns. However, the risk factors influencing the success rate of vaginal trial production are more and more, and the relevant factors need to be actively intervened clinically to improve the success rate of vaginal trial production. Key words: Cesarean section; Pregnancy; Vaginal trial; Maternal and infant outcome; Influencing factors