Conclusions: Proper use of oxytocin, strictly control the first cesarean section, improving prenatal education and examination are effective way to prevent uterine rupture.

• 结论：正确使用催产素，严格控制第一次剖宫产的指征，降低剖宫产率，完善产前检查及加强孕期宣教，可有效预防分娩期子宫破裂。