Abstract:

Abstract: Vaginal birth after cesarean delivery is always a controversy，especially after the implementation of the two-child policy. There is a consensus that planned VBAC is a clinically safe choice for the majority of women with a single previous lower segment caesarean delivery. This article provides evidence-based recommendations for the antenatal and intrapartum management of women undergoing VBAC.

Key words: labor, trial of labor after previous cesarean delivery；vaginal birth after cesarean delivery；elective repeat cesarean delivery；uterine rupture

摘要：

剖宫产后再次妊娠的分娩方式始终是一个具有争议的产科问题。随着我国全面实施“二孩”政策，剖宫产后阴道分娩问题越来越受到关注。目前，多个妇产科学术机构已达成共识：计划性剖宫产后阴道分娩对于大多数一次子宫下段剖宫产史的产妇是一种安全的选择。文章就剖宫产后阴道分娩的相关循证医学证据进行讨论，并为有剖宫产后阴道试产意愿的产妇制定产前、产时管理方案。

关键词: 分娩, 剖宫产后阴道试产, 剖宫产后阴道分娩, 择期重复剖宫产, 子宫破裂