Department of Family Medicine, KwaZulu-Natal Department of Health, Durban.
S Afr Fam Pract (2004). 2024 Jan 30;66(1):e1-e4. doi: 10.4102/safp.v66i1.5879.
This article's emphasis is on the holistic care of women who are assessed as suitable for and amenable to vaginal birth after Caesarean section (VBAC) in the South African state health sector context. It is beyond its scope to deal with the minutiae of VBAC conduct, operative conduct of repeat Caesarean section (CS), or management of uterine rupture. It is also beyond the scope of the article to reflect on practices, which are accepted in other healthcare contexts. The intention is not to promote VBAC over elective repeat CS, but rather to assist healthcare workers with providing high-quality holistic care. The goal is that women with previous CS are given access to the mode of delivery, which is safest for them and their fetus, while minimising adverse psychological effects of previous and future negative birth experiences.
本文的重点是在南非国家卫生部门的背景下，对适合并接受剖宫产术后阴道分娩（VBAC）的女性进行整体护理。本文的范围不包括 VBAC 操作的细节、重复剖宫产（CS）的操作处理或子宫破裂的管理。本文也不涉及在其他医疗保健环境中被接受的实践。本文的目的不是提倡 VBAC 而不是选择性重复 CS，而是帮助医疗保健工作者提供高质量的整体护理。其目标是让有剖宫产史的女性能够获得对她们和胎儿最安全的分娩方式，同时最大限度地减少先前和未来负面分娩经历的不良心理影响。
