Document Detail

Induction of labor for vaginal birth after cesarean delivery.
MedLine Citation:
PMID:  12150147     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. 7/1,000 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:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  77     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-07-31     Completed Date:  2002-09-03     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  303-4     Citation Subset:  IM    
The American College of Obstetrics and Gynecologists, Washington, DC 20090-6920, USA.
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MeSH Terms
Cesarean Section*
Labor, Induced*
Obstetric Labor Complications / diagnosis
Risk Factors
Uterine Rupture / diagnosis
Vaginal Birth after Cesarean*

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

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