Methods of term labour induction for women with a previous caesarean section

Pregnancy outcomes of induced labor in women with previous cesarean section: a systematic review and meta-analysis

“…The included studies did not control for these potential confounding factor. More importantly, the optimal method of induction in women attempting vaginal delivery after previous cesarean section is far for being clearly defined [6,18].…”

“…Subsequent studies either encouraged [4,5] or discouraged IOL in women with a previous cesarean section. Since a previous cesarean section is often an exclusion criterion in randomized controlled trials (RCTs) on IOL, a recent Cochrane review was only able to include two RCTs involving a total of 80 women, which compared different methods of IOL, but not induced vs. spontaneous labor [6]. Therefore, it is not surprising that both Udayasankar et al [7] and Gupta et al [8], by performing a national survey, reported a wide variation in practice of IOL at term or postterm in women with a previous cesarean section.…”

Double-balloon catheter and sequential vaginal prostaglandin E2 versus vaginal prostaglandin E2 alone for induction of labor after previous cesarean section

“…The choice between elective cesarean section, awaiting spontaneous onset of labor and induction of labor is difficult, as risks and benefits have to be considered carefully. Current sources of information are limited to non-randomized trials [2][3][4].…”

Geburtseinleitung: „anything new?“

“…Eine besondere Situation stellt der Zustand nach Sectio oder anderen Uterusoperationen dar: Die Datenlage ist ungenügend, um Empfehlungen für diese Situation auszusprechen [25]. Die Gabe von intrazervikalem oder vaginalem PGE2-Gel sowie die anschließende Weheninduktion mit Oxytocin ist nach Aufklärung der Patientin über das erhöh-te Risiko einer Uterusruptur vertretbar [26].…”