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剖宫产术后经阴道分娩对母亲和胎儿的安全性如何？

How safe is vaginal birth after cesarean section for the mother and fetus?

作者信息

Crawford Paul, Kaufmann Leonora

机构信息

Eglin Air Force Base Family Medicine Residency, Eglin Air Force Base, Eglin, FL, USA.

出版信息

J Fam Pract. 2006 Feb;55(2):149-51; discussion 149.

PMID:16451783
Abstract

Compared with planned repeat low-transverse cesarean section, vaginal birth after cesarean section (VBAC) is not associated with increased risk of maternal or neonatal mortality (strength of recommendation [SOR]: B). Morbidity is slightly increased, as evidenced by higher uterine rupture rates and some neonatal outcome measures (SOR: B).

摘要

与计划再次行低位横切口剖宫产相比，剖宫产术后阴道分娩（VBAC）与孕产妇或新生儿死亡风险增加无关（推荐强度[SOR]：B）。发病率略有增加，子宫破裂率较高和一些新生儿结局指标可证明这一点（SOR：B）。

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