Document Detail

Management of vaginal birth after cesarean.
MedLine Citation:
PMID:  12428692     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To raise the success rate of vaginal birth after cesarean (VBAC) without increasing maternal or perinatal morbidity and mortality rates. METHODS: Of 468 women with a prior scar, 365 gave valid informed consent for our management of VBAC at Akashi Municipal Hospital during 1986-1999. Trials of labor (TOL) were attempted in 322 cases principally by waiting for spontaneous labor onset and teaching the patients a breathing method to avoid straining until expulsion by vacuum extraction become possible, controlling the intrauterine pressure. Our selection criteria for TOL changed during the trial; from 1991-1999 patients with a prior scar extending into fundus were excluded. RESULTS: Of the 322 TOL, 88.2% were successful, and VBAC was successful in 77.8% (284 of the 365 patients). Uterine rupture was observed in 2 cases (0.62%). Fetal death occurred in 1 case. Three women gave birth to neonates with a 1-minute Apgar score < or = 6. CONCLUSION: The rate of VBAC was 77.8% in all women with a prior scar. During our management of VBAC, maternal or perinatal morbidity and mortality rates did not increase significantly.
Fujio Mizunoya; Megumi Nakata; Tokumasa Kondo; Sadao Yamashita; Shigeo Inoue
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  28     ISSN:  1341-8076     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-11-13     Completed Date:  2002-12-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  240-4     Citation Subset:  IM    
Mizunoya Clinic, Akashi, Japan.
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MeSH Terms
Patient Selection
Retrospective Studies
Trial of Labor
Uterine Rupture / etiology
Vaginal Birth after Cesarean*

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

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