剖宫产后阴道分娩的评估与预测

Evaluation and prediction of vaginal delivery after cesarean section

随着我国“二孩”政策实施,剖宫产后妊娠有阴道试产意愿的孕妇越来越多。本文主要就剖宫产后再妊娠阴道分娩评估与预测的相关循证医学证据进行综述,并讨论影响试产成功的因素及预测模型,为产前咨询及决定分娩方式提供参考。

With the implementation of"two children"policy,more and more pregnant women have intention of trial of labor after previous caesarean delivery.This paper mainly summarized the relevant evidence-based medical evidence of assessment and prediction about trial of labor after previous caesarean delivery,and discussed the influence factors and prediction models relate to the success of the trial to provide reference for prenatal consultation and decision-making of delivery mode.