剖宫产术后阴道分娩（VBAC）：过去10年的变化
VBAC: Changes over Last 10 Years.
作者信息
Gupta Neha, De Arpita, Batra Swaraj
机构信息
Hamdard Institute of Medical Sciences and Research, G701, Prateek Stylome, Sector 45, Noida, 201301 India.
出版信息
J Obstet Gynaecol India. 2019 Apr;69(2):110-114. doi: 10.1007/s13224-018-1101-0. Epub 2018 Mar 13.
Abstract
INTRODUCTION
Vaginal birth after caesarean section (VBAC) has been historically studied to be a standard and a safe procedure with good successful results.
AIMS
This study was conducted to determine changes in pattern of VBAC by the same author over a period of 10 years.
RESULTS
Data for 1 year between 2005-2006 and 2014-2015 were compared, and successful VBAC was found to be 74.46% in 2005-2006 period compared to only 34.42% in 2014-2015. Neonatal mortality and maternal morbidity were, however, much higher 10 years ago.
CONCLUSIONS
It was concluded that better diagnostic techniques, awareness of patients and medico legal fear have led to safer health of mother and child and lesser incidence of VBAC over the last 10 years.
摘要
引言
剖宫产术后经阴道分娩（VBAC）在历史上一直被视为一种标准且安全的手术，成功率较高。
目的
本研究由同一作者进行，旨在确定10年间VBAC模式的变化。
结果
对2005 - 2006年和2014 - 2015年这1年间的数据进行了比较，发现2005 - 2006年VBAC的成功率为74.46%，而2014 - 2015年仅为34.42%。然而，10年前新生儿死亡率和产妇发病率要高得多。
结论
得出的结论是，在过去10年中，更好的诊断技术、患者意识以及医疗法律方面的担忧，使得母婴健康更安全，VBAC的发生率降低。
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