剖宫产术后再次妊娠经阴道分娩的研究进展  

Research progress of vaginal delivery for re-pregnancy after cesarean section

作　　者：张珊珊[1] 韦艳芬[1] 梁旭霞[1] ZHANG Shan-shan;WEI Yan-fen;LIANG Xu-xia(The People＇s Hospital of Guangxi Zhuang Autonomous Region,Guangxi Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院,广西南宁530021

出　　处：《中国妇幼健康研究》2018年第9期1214-1217,共4页Chinese Journal of Woman and Child Health Research

基　　金：广西卫生和计划生育委员会自筹经费科研资助项目(编号:Z20180730)

摘　　要：近年来我国随着"全面放开二胎"生育政策的实施,既往高剖宫产率,使得瘢痕子宫再次妊娠问题日益受到重视。剖宫产的死亡率和并发症随着剖宫产次数增加而增加。无论是剖宫产术后再次妊娠阴道试产(TOLAC),还是选择性再次剖宫产(ERCS),都有可能出现严重的临床并发症,这给产科临床实践带来了巨大的挑战。对于这类人群选择何种方式分娩是广大孕妇及产科医师面临的困难选择。近年来,TOLAC已得到国内外的广泛认可,认为是许多有剖宫产史孕妇的合理选择,成功阴道分娩是降低总体剖宫产率的有效途径。该文就TOLAC的研究进展进行综述,以期更好指导临床工作,提高产科服务质量。With the implementation of＂two-child policy＂in China in recent years,the previous high cesarean section rate has attracted more and more attention to the re-pregnancy of women with scar uterus.The mortality and complications of cesarean section increase with the increasing of cesarean section.Possible severe clinical complications after trial of labor after cesarean（TOLAC）or elective repeat cesarean section（ERCS）brings a great challenge for obstetrics department.It is difficult for repregnant women after cesarean and physicians in obstetrics department to choose delivery mode.In recent years,TOLAC has been widely accepted at home and abroad,which is considered as a rational choice for many pregnant women with history of cesarean section.Successful vaginal delivery is an effective way to reduce total cesarean delivery rate.This paper reviewed the research progress on TOLAC in order to better guide clinical work and improve the quality of obstetric services.

关 键 词：剖宫产 瘢痕子宫 妊娠 阴道分娩 子宫破裂 

分 类 号：R714.2[医药卫生—妇产科学]