| Vaginal delivery after previous caesarean section for failure of second stage of labour. | |
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MedLine Citation:
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PMID: 9800930 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the outcome of subsequent labour in primiparous women after a caesarean section for delay in descent in the second stage of labour in cephalic presentations with or without trial of instrumental vaginal delivery. DESIGN: Retrospective follow up study. SETTING: Medical Centre Leeuwarden, The Netherlands. PARTICIPANTS: All primiparous parturients who delivered after prior caesarean section during the second stage of labour in the period 19861998. METHODS: Data concerning the outcome of the first subsequent delivery were gathered from delivery notes and patients charts. The group of women was subdivided into those with or without trial of instrumental vaginal delivery during the previous labour. RESULTS: Of 132 women, 29 (22%) underwent a planned repeat caesarean section. Of the 103 women who were allowed a trial of labour, 82 (80%) were successful in having a vaginal delivery, and 21 (20%) had a second caesarean section. Of the 74 women with a failed trial of instrumental delivery during the previous labour, 19 had a planned repeat caesarean section and 41 of the remaining 55 (75%) had a successful trial of labour. CONCLUSIONS: In women with a cephalic presentation who had an arrest of descent in the second stage of labour during their first delivery, the chances of vaginal delivery in their next pregnancy are high, even after a failed instrumented vaginal delivery, and a trial of labour can usually be pursued. |
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Authors:
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V H Jongen; M G Halfwerk; W K Brouwer |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: British journal of obstetrics and gynaecology Volume: 105 ISSN: 0306-5456 ISO Abbreviation: Br J Obstet Gynaecol Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1998-11-10 Completed Date: 1998-11-10 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7503752 Medline TA: Br J Obstet Gynaecol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1079-81 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Medical Centre Leeuwarden, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Apgar Score Birth Weight Decision Making Extraction, Obstetrical Female Humans Pregnancy Pregnancy Outcome Retrospective Studies Trial of Labor* Uterine Rupture / etiology Vaginal Birth after Cesarean* |
| Comments/Corrections | |
Comment In:
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Br J Obstet Gynaecol. 1999 Jul;106(7):749
[PMID:
10428537
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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