Graham A R
Am J Obstet Gynecol. 1984 May 1;149(1):35-45. doi: 10.1016/0002-9378(84)90289-8.
Elective repeat cesarean section continues to remain the standard of care in the United States. This paper is a study of 242 patients with previous cesarean section who requested and were allowed a trial of labor. One hundred sixty-six (69%) achieved successful vaginal delivery with no maternal or fetal mortality or significant morbidity. Review of the English literature indicates similar results in other independent studies. Continued accumulation of cases showing the efficacy of post-cesarean section trial of labor should encourage a reassessment of the continuing practice of elective repeat cesarean section.
在美国，选择性再次剖宫产仍然是标准的治疗方式。本文对242例有剖宫产史且要求并获准进行试产的患者进行了研究。其中166例（69%）成功实现阴道分娩，无孕产妇或胎儿死亡或严重并发症。对英文文献的回顾表明，其他独立研究也有类似结果。不断积累的病例显示剖宫产术后试产的有效性，这应促使人们重新评估选择性再次剖宫产的持续做法。
