Cahill Alison G, Macones George A
Department of Obstetrics and Gynecology, Washington University, St Louis, Missouri, USA.
Clin Obstet Gynecol. 2007 Jun;50(2):518-25. doi: 10.1097/GRF.0b013e31804bde7b.
Given the high national rate of cesarean delivery in current obstetric practice, patients considering vaginal birth after cesarean (VBAC) in subsequent pregnancies are frequently encountered. A recently growing body of literature on VBAC has produced concrete evidence to define the VBAC-associated risks and identify factors influencing success. An evidence-based approach can guide practitioners and patients through the complex counseling, decision-making, and management issues when considering VBAC delivery.
鉴于当前产科实践中剖宫产的全国发生率较高，在后续妊娠中考虑剖宫产术后阴道分娩（VBAC）的患者经常会遇到。最近，关于VBAC的文献越来越多，已经产生了确凿的证据来定义与VBAC相关的风险，并确定影响成功的因素。基于证据的方法可以在考虑VBAC分娩时，指导从业者和患者应对复杂的咨询、决策和管理问题。
