长期以来,对瘢痕子宫再次妊娠分娩的方式,是选择阴道试产分娩还是剖宫产分娩,产科医师一直存在着争议。由于目前尚无有效方法能够准确判断子宫瘢痕是否具有足够的牢固性,是否能够保证孕妇在再次分娩的过程中不发生先兆子宫破裂及子宫破裂,使争议一直得不到确定的意见。但随着医疗操作技术的不断开发与更新,目前剖宫产手术可使产妇子宫切口愈合越来越好。因此,若剖宫产术后再次妊娠孕妇和家属有阴道试产的强烈意愿,且无任何其他剖宫产指征和禁忌症时,应给予孕妇经阴道分娩的机会,以降低部分剖宫产率,减少产后出血及其它并发症。 For a long time, the way of pregnancy again delivery of scar uterus, is to choose vaginal trial delivery or cesarean delivery, obstetrician has been controversial. Because there is no effective method to accurately determine whether the uterine scar has sufficient robustness, whether to ensure that pregnant women in the process of re-birth without premature uterine rupture and uterine rupture, the controversy has not been conclusive opinion. However, with the constant development and updating of medical operation techniques, current cesarean section surgery can make maternal uterine incision heal better and better. Therefore, if the pregnant women and their families after cesarean section have the strong intention of vaginal trial production, and without any other cesarean section indications and contraindications, vaginal delivery of pregnant women should be given the opportunity to reduce part of the cesarean section Rate, reduce postpartum hemorrhage and other complications.