Abstract: Cicatricial uterus refers to the uterus after cesarean section or myomectomy, repair of perforation or rupture, hysteroplasty and other gynecologic operations, in which cesarean section is the main reason of the cicatricial uterus. In recent years, because of the high rate of cesarean section and changes in the policy of family planning, the number of pregnant women with a prior cesarean delivery has increased year by year. However, the management of the pregnancy in cicatricial uterus is always a challenge subject of obstetrics because of the high risk of the serious maternal and perinatal complications. It is one of the most urgent and complicated problems for an obstetrist how to treat correctly the delivery model of the pregnancy in cicatricial uterus. We review the obstetrical strategy in the treatment of the second pregnancy of cicatricial uterus, including the delivery model, the dications of vaginal delivery, and labor management, to provide practical guidelines of delivery model and improve the quality of obstetrics.

Key words: Vaginal birth after cesarean, Cesarean section, repeat, Cicatrix, Uterine rupture, Obstetric labor complications