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1
Vaginal birth after caesarean delivery: does maternal age affect safety and success?剖宫产术后经阴道分娩：产妇年龄会影响安全性和成功率吗？
Paediatr Perinat Epidemiol. 2007 Mar;21(2):114-20. doi: 10.1111/j.1365-3016.2007.00794.x.
2
The MFMU Cesarean Registry: impact of fetal size on trial of labor success for patients with previous cesarean for dystocia.母胎医学单位剖宫产登记处：胎儿大小对既往因难产行剖宫产患者试产成功的影响。
Am J Obstet Gynecol. 2006 Oct;195(4):1127-31. doi: 10.1016/j.ajog.2006.06.003.
3
Effect of body mass index and excessive weight gain on success of vaginal birth after cesarean delivery.体重指数及体重过度增加对剖宫产术后阴道分娩成功率的影响。
Obstet Gynecol. 2005 Oct;106(4):741-6. doi: 10.1097/01.AOG.0000177972.32941.65.
4
Modified Bishop's score and induction of labor in patients with a previous cesarean delivery.既往有剖宫产史患者的改良Bishop评分与引产
Am J Obstet Gynecol. 2004 Nov;191(5):1644-8. doi: 10.1016/j.ajog.2004.03.075.
5
Trial of labor in patients with a previous cesarean section: does maternal age influence the outcome?既往剖宫产史患者的引产：产妇年龄会影响结局吗？
Am J Obstet Gynecol. 2004 Apr;190(4):1113-8. doi: 10.1016/j.ajog.2003.09.055.
6
Vaginal birth after cesarean section versus elective repeat cesarean delivery: Weight-based outcomes.剖宫产术后阴道分娩与择期再次剖宫产：基于体重的结局
Am J Obstet Gynecol. 2003 Jun;188(6):1516-20; discussion 1520-2. doi: 10.1067/mob.2003.472.
7
Mode of delivery for the morbidly obese with prior cesarean delivery: vaginal versus repeat cesarean section.有剖宫产史的极度肥胖孕妇的分娩方式：阴道分娩与再次剖宫产
Am J Obstet Gynecol. 2001 Aug;185(2):349-54. doi: 10.1067/mob.2001.116729.
8
Labor after previous cesarean: influence of prior indication and parity.既往剖宫产术后的分娩：既往指征和产次的影响。
Obstet Gynecol. 2000 Jun;95(6 Pt 1):913-6. doi: 10.1016/s0029-7844(00)00790-0.
9
Correlation between maximum cervical dilatation at cesarean delivery and subsequent vaginal birth after cesarean delivery.剖宫产时宫颈最大扩张程度与后续剖宫产术后阴道分娩之间的相关性。
Obstet Gynecol. 1997 Apr;89(4):591-3. doi: 10.1016/s0029-7844(97)00046-x.

一项关于既往剖宫产术后阴道分娩成功的各种预测因素的观察性研究。

An observational study of various predictors of success of vaginal delivery following a previous cesarean section.

作者信息

Gupta Smriti, Jeeyaselan Shanti, Guleria Raka, Gupta Anjali

机构信息

DNB Obstetrics and Gynecology, Dr. RML Hospital, New Delhi, India ; A 38/2, Kirti Palace, Jagriti Vihar, Meerut, UP India.

Obstetrics & Gynecology, Holy Family Hospital, New Delhi, India.

出版信息

J Obstet Gynaecol India. 2014 Aug;64(4):260-4. doi: 10.1007/s13224-014-0519-2. Epub 2014 Mar 19.

DOI:10.1007/s13224-014-0519-2
PMID:25136171
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4126941/
Abstract

OBJECTIVES

To study the various predictors of success for vaginal birth after cesarean (VBAC) and to study the maternal and fetal outcomes in them and their comparison with control group.

METHODS

This prospective observational study included 100 women with previous cesarean section in the study group and 100 primigravidas in the control group. Various predictors for success of VBAC were analyzed and maternal and fetal outcomes were compared with the control group using student t test, Pearson χ (2) test, and Mann-Whitney U test.

RESULTS

Of 100 women with prior cesarean Sect. 65 had successful trial of labor, while 35 underwent a repeat cesarean section. Maternal complications in the previous CS group were 15 % as compared to only 2 % in the control group (p < 0.001).

CONCLUSION

Maternal pre-pregnancy BMI, non-recurring indications of previous cesarean section, good Bishop's score at the time of admission, spontaneous onset of labor, and neonatal birth weight were significantly related to high chances of success of vaginal birth after previous cesarean section. Maternal complications were more common in study group, but the fetal outcomes were similar.

摘要

目的

研究剖宫产术后阴道分娩（VBAC）成功的各种预测因素，并研究其母婴结局以及与对照组的比较。

方法

本前瞻性观察性研究包括研究组中100例有剖宫产史的女性和对照组中100例初产妇。分析VBAC成功的各种预测因素，并使用学生t检验、Pearson χ²检验和Mann-Whitney U检验将母婴结局与对照组进行比较。

结果

在100例有剖宫产史的女性中，65例试产成功，而35例行再次剖宫产。既往剖宫产组的母体并发症为15%，而对照组仅为2%（p<0.001）。

结论

孕前母体BMI、既往剖宫产的非复发性指征、入院时良好的 Bishop 评分、自然发动分娩和新生儿出生体重与既往剖宫产术后阴道分娩成功的高几率显著相关。母体并发症在研究组中更常见，但胎儿结局相似。