现代妇产科进展2018，Vol.27Issue(2)：115-117,121,4.DOI:10.13283/j.cnki.xdfckjz.2018.02.008
规范化剖宫产后阴道试产478例临床分析
Clinical analysis of 478 cases of vaginal birth after cesarean section
摘要
Abstract
Objective:To investigate the delivery outcome of vaginal birth after cesare-an section (VBAC). Methods:Totally 478 pregnant women who received standardized VBAC clinics and treatment in First Maternity and Infant Hospital,Tongji University between Jan. 2014 and Aug. 2016 were reviewed retrospectively. Results:The success rate of VBAC was 95. 4％, among which the rate of induced labor was 33. 4％ . The spontaneous labor group contains 313 cases and the induction group contains 143 cases. The induction group had extended first stage of labor,extended total course of labor and the decreased success rate of VBAC notably com-pared to the induction labour group. Induction of labor didn't increase uterine rupture,postpar-tum hemorrhage,or adverse events remarkably in mother and fetus. Conclusion:Standardized VBAC diagnosis and treatment can improve the success rate of VBAC and the success rate of induced labor significantly. Induction labor reduced the success rate of VBAC notably. The ap-plication of double balloon and oxytocin in VBAC induction of labor is safe and effective. The employment of labor analgesia may help to improve the success rate of VBAC.关键词
规范化/剖宫产后阴道试产/自然发动/引产Key words
Standardization/Vaginal birth after cesarean section/Spontaneous labor/Induction labour分类
医药卫生引用本文复制引用
倪晓田,单震丽,阮昇明,段涛,周健..规范化剖宫产后阴道试产478例临床分析[J].现代妇产科进展,2018,27(2):115-117,121,4.基金项目
上海市浦东新区联合攻关项目(No:PW2014D-8) （No:PW2014D-8）
上海市浦东新区卫生系统重点学科群建设(No:PWZxq2014-02) （No:PWZxq2014-02）
