Guerdan B R, McKenna J P, Wright J C
Medical Center, Beaver, PA 15009.
J Am Board Fam Pract. 1989 Jul-Sep;2(3):169-71.
Several tertiary care, multicenter studies have shown vaginal birth after Cesarean section (VBAC) to be a viable alternative in a select patient population. The premise of our study was that VBAC is a safe option in a community hospital setting. Any patient meeting the criteria of the American College of Obstetricians and Gynecologists (ACOG) was eligible for a trial of labor, and ACOG guidelines regarding mandatory facilities and personnel were followed. One hundred six women with a history of previous Cesarean section were delivered of infants during the study period. Of these, 16 attempted a trial of labor, and 13 (81.3 percent) had vaginal births with minimum morbidity. There were no instances of scar disruption. Thirty-nine percent of the patients who were successful with VBAC had had a previous vaginal birth. By offering VBAC, the participating physicians were able to reduce their repeat Cesarean section rate by 12 percent.
多项三级医疗中心的多中心研究表明，剖宫产术后阴道分娩（VBAC）对于特定患者群体而言是一种可行的选择。我们研究的前提是，在社区医院环境中VBAC是一种安全的选择。任何符合美国妇产科医师学会（ACOG）标准的患者都有资格进行试产，并遵循了ACOG关于必备设施和人员的指南。在研究期间，106名有剖宫产史的女性分娩了婴儿。其中，16人尝试试产，13人（81.3%）成功阴道分娩且发病率最低。没有出现瘢痕破裂的情况。成功进行VBAC的患者中，39%曾有过阴道分娩史。通过提供VBAC，参与研究的医生能够将再次剖宫产率降低12%。
