瘢痕子宫妊娠分娩时机及分娩方式选择

The optimal timing and mode of delivery for uterine scar pregnancy

瘢痕子宫再次妊娠选择阴道分娩还是剖宫产,需要评价发生严重不良结局的可能性,以保障母婴安全。有一次剖宫产史的产妇,经充分评估无阴道分娩禁忌证,可以试产。阴道分娩存在潜在子宫破裂风险,应严密监测产程进展和胎儿情况。子宫下段横切口剖宫产,无妊娠并发症、合并症,可以妊娠至足月分娩。

Obstetrical management of vaginal birth or cesarean section after previous cesarean section should depend on the maternal and perinatal risks and benefits. If there are no contraindications, a woman with 1 previous transverse low-segment cesarean section should be offered a trial of labor, the serious complication is uterine rupture, careful monitoring for mother and fetus must be done during labor.