Mootabar H, Dwyer J F, Surur F, Dillon T F
Int J Gynaecol Obstet. 1984 Apr;22(2):155-60. doi: 10.1016/0020-7292(84)90030-4.
In 1983 the question whether or not to perform vaginal delivery following previous cesarean section is again presented to the obstetrical community. Data are presented on 778 patients managed during the decade January 1, 1973 to December 31, 1982. Four hundred seventy-six had scheduled repeat cesarean section on an elective basis. One hundred sixty-five experienced normal vaginal delivery. One hundred thirty-seven failed the attempt and were delivered by cesarean section. The group that delivered vaginally and scheduled elective cesarean section did well. However, in the failed attempt the problems were awesome regardless of indication or number of previous cesarean sections.
1983年，前次剖宫产术后是否进行阴道分娩的问题再次摆在产科界面前。文中给出了1973年1月1日至1982年12月31日这十年间778例患者的治疗数据。其中476例择期进行了再次剖宫产。165例成功经阴道分娩。137例试产失败，最终行剖宫产分娩。经阴道分娩组和择期剖宫产组情况良好。然而，在试产失败的病例中，无论指征如何或前次剖宫产次数多少，问题都很严重。
