Document Detail


Study of vaginal delivery in patients with one previous lower segment caesarean section.
MedLine Citation:
PMID:  3469988     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective study evaluated the prospects of having a vaginal delivery following a lower segment Caesarean section in Nehru Hospital; 685 (52%) of 1,315 patients with a previous Caesarean section were given a trial of vaginal delivery with a success rate of 69%. Vaginal breech delivery was allowed in 14 patients without affecting the outcome of term babies and without maternal morbidity or mortality. There were 12 cases (1.7% incidence) of scar disruption of which 4 were of scar rupture. There was no maternal or fetal death as a result of these disruptions even though 3 mothers had subtotal hysterectomy. Pitocin was used in 144 (21%) patients. Of the 12 cases of scar disruption 5 patients had received pitocin. There was no favourable influence of prior vaginal delivery on the success of the trial, and 3 patients with scar disruption had already had a vaginal delivery in addition to a lower segment Caesarean section.
Authors:
T Kishor; C Singh; S D Barman; A N Gupta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  26     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  1986 Nov 
Date Detail:
Created Date:  1987-04-23     Completed Date:  1987-04-23     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  245-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Breech Presentation
Cesarean Section*
Cicatrix / complications*
Delivery, Obstetric*
Female
Humans
Obstetric Labor Complications
Pregnancy
Reoperation
Retrospective Studies
Uterine Rupture / etiology

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


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