Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2016, Vol. 12 ›› Issue (02): 228 -231. doi: 10.3877/cma.j.issn.1673-5250.2016.02.018

Special Issue:

Review

Research progress of induced labor and cervical ripening methods used in pregnant women with scarred uterus

Dan Shan1   

  1. 1. Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2016-02-11 Revised:2016-03-26 Published:2016-04-01
  • About author:
    Corresponding author: Hu Yayi, Email:

The situation of induced labor in scarred uterus patients of vaginal birth after previous caesarean section(VBAC) has been getting more and more serious. Obstetricians always feel puzzles about the problems such as whether it is safe to induce labor, when to perform and which way is the best for induce labor. For a full-term pregnancy, induced labor in scarred uterus patients of VBAC may fail and increase the risk of uterine rupture. It is necessary to make strict indications for induced labor in scarred uterus patients of VBAC, and the procedure should be performed in hospital with rescue facilities.In scarred uterus patients of VBCA with fetal malformations and stillbirth, it is the key to select the individualized project and minimize the potential risks for puerperant. This paper reviewed the domestic and abroad guidelines and recent important clinical trials about induced labor and cervical ripening methods in scarred uterus patients of VBAC in second and third trimester, in order to provide clinical directions for obstetricians.

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