剖宫产后再次妊娠的阴道分娩

Vaginal Birth after Cesarean Section

近年来剖宫产率在我国不断升高 ,有些城市已从 2 0年前的 9%上升到 45 %。造成剖宫产率升高的原因很多 ,例如惧怕分娩、胎儿电子监护的广泛使用、对臀位产缺乏训练和经验、阴道手术产的减少以及再次剖宫产的增多等。减少过高的剖宫产率的办法之一就是剖宫产史孕妇经阴道试产。

The cesarean delivery rate in our country has dramatically increased from9%～45%.(in some cities)during the past two decades.There are many reasons given as to why the cesarean section rate is high.Fear of malpractice,increased use of electronic fetal monitoring,lack of training and experience in the management of breeth delivery,decreased use of operative vaginal delivery,and increased rates of repeat cesarean section often are cited.For each these indications for cesarean section,strategies have been developed to lower the cesarean delivery rate.Vaginal birth or trial of labor after previous cesarean delivery is one such strategy.