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随着现代产科和麻醉技术的发展,电子胎心监护的普遍使用,为确保母儿安全、减少医疗纠纷,剖宫产率逐年持续上升[1],剖宫产术后再次妊娠能否经阴道分娩已成为产科医生重视的问题。近年越来越多的研究从剖宫产术后阴道分娩的适应证、禁忌证、高危因素、注意事项、缩宫素的应用、影响因素、优越性及危险性等方面探讨阴道试产的可行性。研究证实,剖宫产史并非再次妊娠剖宫产的绝对手术指征,术后阴道分娩与重复剖宫产相比利多于弊,减少医疗浪费,临床上选择合适的病例进行阴道试产是安全可行的。
With the development of modern obstetrics and anesthesia technology, the widespread use of electronic fetal heart monitoring, in order to ensure the safety of mother and child, reduce medical disputes, cesarean section rate continues to rise year by year [1], cesarean section after pregnancy again vaginal Childbirth has become a problem that obstetricians value. In recent years, more and more studies from the cesarean section vaginal delivery indications, contraindications, risk factors, precautions, the application of oxytocin, influencing factors, superiority and risk of vaginal trial feasibility study Sex. The study confirmed that the history of cesarean section is not an absolute surgical indications for cesarean section of the second pregnancy, postoperative vaginal delivery compared with repeated cesarean delivery more advantages than disadvantages and reduce medical waste, the clinical selection of the appropriate cases for vaginal trial is safe feasible.