【指南】2010 ACOG临床指南115：剖宫产后经阴道分娩-合生元营养与护理研究院

热门关键字: 儿童营养|肠道微生态|肥胖|母乳研究

【指南】2010 ACOG临床指南115：剖宫产后经阴道分娩

49972014/09/04 收藏

文章类型：指南原文

语言：英文

中文标题：2010 ACOG临床指南115：剖宫产后经阴道分娩

英文标题：ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery.

制定者：美国妇产科医师学会(ACOG,American Congress of Obstetricians and Gynecologists)

制定日期：2010.8.20

摘要：Trial of labor after previous cesarean delivery (TOLAC)* provides women who desire a vaginal delivery with the

possibility of achieving that goal––a vaginal birth after cesarean delivery (VBAC)?. In addition to fulfilling a patient's preference for vaginal delivery, at an individual level VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies. At a population level, VBAC also is associated with a decrease in the overall cesarean delivery rate (1, 2). Although TOLAC is appropriate for many women with a history of a cesarean delivery, several factors increase the likelihood of a failed trial of labor, which compared with VBAC, is associated with increased maternal and perinatal morbidity (3–5). Assessment of individual risks and the likelihood of VBAC is, therefore, important in determining who are appropriate candidates for TOLAC. The purpose of this document is to review the risks and benefits of TOLAC in various clinical situations and provide practical guidelines for managing and counseling patients who will give birth after a previous cesarean delivery.

本文下载链接见下方。

文档下载

分享至：

孕产妇营养与健康