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随着近年剖宫产率的上升及我国人口政策的调整,剖宫产后再次妊娠的分娩方式已成为再生育相关研究的重要课题。虽然剖宫产后阴道分娩面临子宫破裂等严重并发症发生风险,但对于大多数具有1次子宫下段剖宫产史的再生育者,计划性剖宫产后成功阴道分娩(VBAC)不仅是一种较安全的选择,同时还会增加母胎其他受益。因此,临床需严密评估再生育母胎风险,选择适当的分娩方式,加强产程监测,及时处理异常情况,以获得良好围生结局。
With the increase of cesarean section rate in recent years and the adjustment of population policy in our country, the mode of delivery of second pregnancy after cesarean section has become an important issue in the research of reproductive reproduction. Although vaginal delivery after cesarean section is at risk of serious complications such as rupture of the uterus, planned vaginal delivery after successful cesarean delivery (VBAC) is more than just one for most rebirths with a history of cesarean delivery A safer choice, but also to increase the other benefits of maternal birth. Therefore, the clinical need to rigorously assess the risk of fertility maternal birth, select the appropriate mode of delivery, to strengthen labor monitoring, timely treatment of anomalies in order to obtain a good perinatal outcome.