Document Detail


Vaginal birth after cesarean section in a university setting.
MedLine Citation:
PMID:  8051495     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite numerous reports in the literature almost universally endorsing the safety of a trial of labor after a prior cesarean section, it is used in only a small fraction of eligible patients. Our investigation, conducted at the University of Louisville, examines the safety of such a protocol. Two thousand seven hundred fifty-seven patients were delivered during one year; 282 had a history of at least one prior cesarean section. Of the 259 patients eligible, 218 (84%) underwent a trial of labor, and 168/218 (77%) were delivered vaginally. There were 6 cases of uterine dehiscence and 1 uterine rupture. No hysterectomies were performed. Maternal morbidity was significantly greater in the failed trial-of-labor group. There was one perinatal death that was unrelated to a trial of labor. A previous diagnosis of cephalopelvic disproportion or failure to progress did not preclude a trial of labor, and 69% of these patients delivered vaginally. Our data suggest that a trial of labor following one or more previous cesarean sections is a safe option in a carefully selected population.
Authors:
M A Turnquest; T James; C Marcell; J A Spinnato
Related Documents :
19452325 - Audit and feedback: effects on professional obstetrical practice and healthcare outcome...
9348255 - Oxygen free radical activity in the second stage of labor.
16697945 - Analysis of free hemoglobin level and hemoglobin peptides from human puerperal uterine ...
12850605 - Spontaneous versus induced labor after a previous cesarean delivery.
23328895 - Drug metabolism and transport during pregnancy: how does drug disposition change during...
8083015 - Effects of fetal forebrain transplants in ibotenic-injured nucleus basalis: an anatomic...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Kentucky Medical Association     Volume:  92     ISSN:  0023-0294     ISO Abbreviation:  J Ky Med Assoc     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-09-06     Completed Date:  1994-09-06     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7505615     Medline TA:  J Ky Med Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  216-21     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Louisville, KY 40292.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cesarean Section / adverse effects
Female
Humans
Infant, Newborn
Obstetric Labor Complications
Pregnancy
Trial of Labor
Vaginal Birth after Cesarean*

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


Previous Document:  N-acetylcysteine enhances in vitro the intracellular killing of Staphylococcus aureus by human alveo...
Next Document:  A case of Fabry disease (alpha-galactosidase A deficiency).