Abstract: 〔Abstract〕Objective: To study the feasibility of vaginal delivery for subsequent pregnancy in scarred uterus. Methods: We explored
the outcomes of planned VBAC and non-scar vaginal delivery, ERCS and first cesarean section delivery in Dali Teaching Hospital of
Dali University from January 2017 to December 2017. Results: Out of 434 patients with scarred uterus, 68 had TOLAC, 54 had VBAC,
and the success rate was 79.4%. No significant difference was found between TOLAC and non-scar vaginal delivery（P > 0.05）. There
was a significant difference between ERCS and the first cesarean section（P < 0.05）. Conclusion: Compared with ERCS, VBAC can
reduce postpartum bleeding, shorten hospitalization time, have good maternal and child outcomes, and reduce cesarean section rate. It
is necessary to strengthen the management of the subsequent pregnancy after cesarean section, make emergency plans, strictly control
the indications, eliminate contraindications, have proper communications, and offer correct childbirth guidance in order to effectively
reduce the rate of cesarean section and the incidence of maternal and infant complications.

Key words: 〔Key words〕scarred uterus, subsequent pregnancy, cesarean section, vaginal delivery