Vaginal Birth After Cesarean Delivery
Vaginal Birth After Cesarean Delivery
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DOI：
10.1016/j.clp.2008.07.004
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发表时间：
2008-09-01
影响因子：
2.1
通讯作者：
Landon, Mark B.
中科院分区：
文献类型：
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作者：
Landon, Mark B.
到2004年，在美国，只有9.2%的妇女在以前的剖腹产经历了一个任期的劳动（TOL），虽然近三分之二的这些妇女实际上是候选人的TOL。在这篇文章中，作者指出，剖宫产后阴道分娩（VBAC）-TOL的主要风险是子宫破裂，这可能导致围产期死亡，胎儿缺氧性脑损伤和子宫切除术。子宫破裂的危险因素包括剖宫产次数、阴道分娩次数、分娩间隔时间和子宫闭合技术。作者最后指出，一个孕妇与以前的剖宫产是在风险的母亲和围产期并发症，是否接受TOL或选择择期重复手术。应讨论两种手术的并发症，并尝试个体化子宫破裂的风险和VBAC成功的可能性。
By 2004, only 9.2% of women in the United States with prior cesareans underwent a term of labor (TOL), although nearly two thirds of these women are actually candidates for a TOL. In this article, the author notes that the principal risk associated with vaginal birth after cesarean delivery (VBAC)-TOL is uterine rupture, which can lead to perinatal death, fetal hypoxic brain injury, and hysterectomy. Risk factors for uterine rupture include number of prior cesareans, prior vaginal delivery, interdelivery interval, and uterine closure technique. The author concludes by noting that a pregnant woman with prior cesarean delivery is at risk for maternal and perinatal complications, whether undergoing TOL or choosing elective repeat operation. Complications of both procedures should be discussed and an attempt made to individualize the risk for uterine rupture and the likelihood of successful VBAC.