Document Detail

Committee opinion. Induction of labor for vaginal birth after cesarean delivery.
MedLine Citation:
PMID:  12039139     Owner:  NLM     Status:  MEDLINE    
A recent population-based study of vaginal birth after cesarean delivery (VBAC) attempts observed uterine rupture rates of 24.5 per 1,000 with prostaglandin-induced labor, while the uterine rupture rates with spontaneous labor and labor induced without prostaglandins were lower (5.2/1,000 and 7.71/1,000 respectively). The authors did not confirm the diagnoses by examining individual medical records, so the actual incidence of uterine rupture may have been overstated. Despite this limitation, the Committee on Obstetric Practice concludes that the risk of uterine rupture during VBAC attempts is substantially increased with the use of various prostaglandin cervical ripening agents for the induction of labor, and their use for this purpose is discouraged.
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Publication Detail:
Type:  Guideline; Journal Article; Practice Guideline    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  99     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-05-31     Completed Date:  2002-09-03     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  679-80     Citation Subset:  AIM; IM    
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MeSH Terms
Labor, Induced / methods*,  standards*
Misoprostol / contraindications
Prostaglandins / contraindications
Risk Factors
Uterine Rupture / prevention & control
Vaginal Birth after Cesarean / methods*,  standards*
Reg. No./Substance:
0/Prostaglandins; 59122-46-2/Misoprostol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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