Vaginal Delivery After Cesarean Section

OʼSullivan, Mary J.; Fumia, Fred; Holsinger, K.K.; McLeod, Allan

doi:10.1016/s0095-5108(18)31100-x

Cited by 33 publications

(15 citation statements)

References 23 publications

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“…This result was comparable with the results of other studies reported by Riva and Teich,[13] Dayal V,[14] Allahabadia,[15] Phelan et al .,[7] and O Sullivan. [16] In our study, the rate of a repeat CS was 15% and commonest indication was fetal distress. Phelan et al .…”

Section: Discussionmentioning

confidence: 55%

Vaginal birth after cesarean section

et al. 2013

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Background:The rate of primary cesarean section (CS) is on the rise. More and more women report with a history of a previous CS. A trial of vaginal delivery can save these women from the risk of repeat CS.Aims:The study was conducted to assess the safety and success rate of vaginal birth after CS (VBAC) in selected cases of one previous lower segment CS (LSCS).Materials and Methods:The prospective observational study was carried out in a tertiary care teaching hospital over a period of two years. One hundred pregnant women with a history of one previous LSCS were enrolled in the study.Results:In the present study, 85% cases had a successful VBAC and 15% underwent a repeat emergency LSCS for failed trial of vaginal delivery. Cervical dilatation of more than 3 cm at the time of admission was a significant factor in favor of a successful VBAC. Birth weight of more than 3,000 g was associated with a lower success rate of VBAC. The incidence of scar dehiscence was 2% in the present study. There was no maternal or neonatal mortality.Conclusion:Trial of VBAC in selected cases has great importance in the present era of the rising rate of primary CS especially in rural areas.

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Section: Discussionmentioning

confidence: 55%

Vaginal birth after cesarean section

et al. 2013

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“…Vários trabalhos mostram boas chances de sucesso e praticamente ausên-cia de riscos maternos e fetais com a realização de parto vaginal nesta condição 2,6,7 . A realização da prova de trabalho de parto em gestantes com cesárea anterior é procedimento seguro, com boas chances de sucesso e uma das medidas possíveis para se reduzirem as taxas de repetição de cesárea e os custos, tanto em termos de morbimortalidade materna e perinatal quanto hospitalares, associados à realização de partos abdominais.…”

Section: Resultados: a Via Do Segundo Parto Foi Vaginal Em 57% Das Veunclassified

“…Mostrou que o risco é significativamente maior nas instituições não-universitárias, privadas e com baixo volume obstétrico 8 . Discute-se também a ausência de enfermeiras obstétricas em algumas instituições como fator associado ao incremento de cesárea 6 . Fatores inerentes ao médico, como conveniência e insegurança devida à treinamento obstétrico insatisfatório, também se associam ao .…”

Section: Resultados: a Via Do Segundo Parto Foi Vaginal Em 57% Das Veunclassified

Fatores Associados à Realização de Cesárea em Primíparas com uma Cesárea Anterior

Cecatti¹,

Andreucci²,

Cacheira³

et al. 2000

Rev. Bras. Ginecol. Obstet.

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IntroduçãoHistoricamente a cesárea surgiu como alternativa para situações extremas, como recurso para salvaguardar a vida do concepto ou da mãe 1 . Até o final do século XIX, as estatísticas mundiais mostravam sobrevida materna à operação cesariana que não ultrapassava 50% 2 . A partir do início da segunda metade deste século, as técnicas cirúrgicas e de retaguarda evoluíram para oferecer significativa melhoria dos resultados obstétricos maternos e perinatais, o que causou um rápido aumento no número de indicações de parto abdominal.Durante praticamente toda a década de setenta até quase metade da década de oitenta, supunha-se que a cesariana melhorava o prognósti-co perinatal, o que serviu como justificativa para o aumento do número de cesáreas neste período. Hoje já se sabe que os principais determinantes da diminuição da morbimortalidade perinatal em décadas anteriores foram os avanços no tipo, qualidade e disponibilidade dos serviços médicos em geral e dos obstétricos e neonatais em particular, com a melhoria global na atenção à saúde mater-

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“…Patients scheduled for a trial of scar are usually allowed to have spontaneous onset of labor (2). However, when delivery is required before the onset of labor, a repeat cesarean section is often preferred, as induction of labor is controversial in this situation (3). In our hospital, we METHODS In our hospital, the majority of women who have previously undergone cesarean section usually requested a trial of scar because of a prevailing conservative attitude towards cesarean section and a preference for vaginal delivery.…”

Section: Abstract: Labor Induction Pregnancy Following Previous Cesmentioning

confidence: 99%

Labor induction for planned vaginal delivery in patients with previous cesarean section

Lao¹,

Leung²

1987

Acta Obstet Gynecol Scand

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The role of labor induction in patients scheduled for vaginal delivery following a previous lower segment cesarean section has been controversial. In Hong Kong, we have managed these patients by induction when there were obstetric or medical indications. A review of 137 patients who had labor induced for a trial of scar showed that induction of labor was a safe procedure and the rate of repeat caesarean section in these patients (18.2%) was similar to that in other patients with a trial of scar who had spontaneous onset of labor (12.9%). There were no serious maternal or fetal complications. Although the use of oxytocin in addition to amniotomy produced no difference in the outcome, we felt that it was useful in preventing a long induction delivery interval as well as avoiding a high failure rate of induction. We conclude that in patients selected for a trial of scar, planned induction of labor should be attempted when an indication for delivery arises, as a high proportion (more than 80%) of these patients gave birth vaginally. If induction were ruled out, most of these patients would have to be delivered by repeat cesarean section, with its associated morbidity and expense.

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Vaginal Delivery After Cesarean Section

Cited by 33 publications

References 23 publications

Vaginal birth after cesarean section

Vaginal birth after cesarean section

Fatores Associados à Realização de Cesárea em Primíparas com uma Cesárea Anterior

Labor induction for planned vaginal delivery in patients with previous cesarean section

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