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剖宫产后阴道分娩——值得冒这个风险吗?

VBAC--is it worth the risk?

作者信息

Socol Michael L

机构信息

Department of Obstetrics and Gynecology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.

出版信息

Semin Perinatol. 2003 Feb;27(1):105-11. doi: 10.1053/sper.2003.50008.

DOI:10.1053/sper.2003.50008
PMID:12641306
Abstract

Enthusiasm for vaginal birth after cesarean section has waned. As a result, the cesarean birth rate is again on the rise. As a medical community and society we must decide whether the most appropriate question is "What is safest for my baby?" or "Is the risk associated with vaginal birth after cesarean acceptable?" There are risks associated with vaginal birth after cesarean, but in a hospital setting with appropriate resources these risks are low and would still seem to be acceptable.

摘要

剖宫产术后经阴道分娩的热情已经消退。因此,剖宫产率再次上升。作为医疗界和社会,我们必须决定最合适的问题是“什么对我的宝宝最安全?”还是“剖宫产术后经阴道分娩的风险是否可以接受?”剖宫产术后经阴道分娩存在风险,但在具备适当资源的医院环境中,这些风险较低,似乎仍然可以接受。

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Vaginal birth after cesarean in California: before and after a change in guidelines.加利福尼亚州剖宫产术后阴道分娩:指南变更前后
Ann Fam Med. 2006 May-Jun;4(3):228-34. doi: 10.1370/afm.544.