疤痕子宫阴道分娩的团队合作Anthony 课件.pptVIP

* * CS rate has risen to 32.9% in 2009 (from 5% in 1970) In the 1970s, recommendations to increase TOLAC 1996 – CS rate decreased to 20% However, as TOLAC rates increased so did complications Other reasons for CS are fetal compromise and EFM may be attributing. Breech deliveries By 2006, VBAC rate decreased to 8.5% * Purpose: evaluate the evidence regarding the safety and outcome of TOLAC and VBAC and to propose solutions. Over 3000 citations in literature but Data are insufficient because: Inconsistent definitions of uterine rupture and dehiscence, wide variation in induction protocols, het