van Amerongen D
Anchor Organization for Health Maintenance, Oak Brook, IL 60521.
J Reprod Med. 1989 Aug;34(8):531-4.
The option of vaginal birth after a previous cesarean section (VBAC) is widely recognized as a safe procedure for mother and infant as well as a means of reducing the cesarean section rate. Nevertheless, it remains underutilized in community, non-level III hospitals, where most births occur. Over a 30-month period, all patients presenting to a community-based practice who met the criteria for VBAC as outlined by the American College of Obstetricians and Gynecologists were offered this option. Of 72 candidates, 66 chose a trial of labor; only 4 failed to deliver vaginally. No complications were noted in any of the women or infants. This study demonstrated that in a community setting, VBACs are safe and can yield a high success rate.
既往剖宫产术后经阴道分娩（VBAC）这一选择，被广泛认为对母婴而言是一种安全的分娩方式，也是降低剖宫产率的一种手段。然而，在大多数分娩发生的社区非三级医院中，这一方式仍未得到充分利用。在30个月的时间里，向一家社区诊所就诊且符合美国妇产科医师学会所概述的VBAC标准的所有患者，都获得了这一选择机会。在72名符合条件的孕妇中，66人选择了试产；只有4人未能经阴道分娩。在任何一位女性或婴儿身上均未发现并发症。这项研究表明，在社区环境中，VBAC是安全的，并且成功率很高。
