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中华产科急救电子杂志 ›› 2025, Vol. 14 ›› Issue (01) : 26 -30. doi: 10.3877/cma.j.issn.2095-3259.2025.01.006

瘢痕子宫再妊娠系列问题

剖宫产术后瘢痕子宫再妊娠阴道试产的管理
罗漫灵1, 黄莉萍1,()   
  1. 1. 510515 广州,南方医科大学南方医院妇产科
  • 收稿日期:2024-08-12 出版日期:2025-02-18
  • 通信作者: 黄莉萍
  • 基金资助:
    广州市科技计划项目(2023A04J2297)

Management of vaginal trial delivery for recurrent pregnancy of scarred uterus after cesarean section

Manling Luo, Liping Huang()   

  • Received:2024-08-12 Published:2025-02-18
  • Corresponding author: Liping Huang
引用本文:

罗漫灵, 黄莉萍. 剖宫产术后瘢痕子宫再妊娠阴道试产的管理[J/OL]. 中华产科急救电子杂志, 2025, 14(01): 26-30.

Manling Luo, Liping Huang. Management of vaginal trial delivery for recurrent pregnancy of scarred uterus after cesarean section[J/OL]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2025, 14(01): 26-30.

产妇在剖宫产术后再次妊娠尝试经阴道分娩称为剖宫产后阴道试产(trial of labor after cesarean,TOLAC),是产科领域的热点和难点。 随着剖宫产率上升,TOLAC 作为降低剖宫产率的重要手段备受关注。 医疗团队需通过严格的评估和监测,包括选择适当的患者、评估瘢痕子宫破裂风险、做好分娩过程中的干预及突发并发症的应对,以确保母儿安全。 此外,对患者及家属的宣教和心理支持也是保障成功进行TOLAC 的至关重要的一环。

Trial of labor after cesarean (TOLAC) refers to the attempt of vaginal delivery in a woman who has previously undergone a cesarean section. This concept is both a focus and a challenge in the field of obstetrics. With the increasing rate of cesarean deliveries, TOLAC has gained significant attention as an important method for reducing cesarean rates. The medical team must conduct rigorous assessments and monitoring, including selecting appropriate candidates, evaluating the risk of uterine scar rupture, and managing interventions and potential complications during labor to ensure the safety of both mother and baby. Additionally, patient and family education and psychological support are crucial components for the successful implementation of TOLAC.

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