Document Detail

The outcomes of trial of labour after cesarean section following induction of labour compared to spontaneous labour.
MedLine Citation:
PMID:  23307166     Owner:  NLM     Status:  Publisher    
PURPOSE: To determine the success rate of vaginal birth after cesarean birth (VBAC) and its outcome when labour was induced compared to spontaneous labour. METHODS: Prospective cohort study of all women who had lower segment caesarian section (LSCS) in any previous delivery and were admitted for a trial of labour after cesarean between April 2010 and March 2011 at a University Hospital. We compared the success rates of VBAC in women who had induction of labour (IOL) to those who came with spontaneous labour. RESULTS: During the study period, 320 women who elected to have trial of labour after cesarean and were included in the study, 268 (83.8 %) had spontaneous labour and 52 (16.3 %) had IOL. The most common indications for IOL were post term pregnancy 30 %, diabetes during pregnancy 19 % and prelabour spontaneous rupture of membranes 17 %. There was no difference between both groups in age, previous vaginal delivery and gestational age. In terms of the method of induction, the most commonly used method was transcervical Foley catheter in 21 cases (40.4 %) and then Oxytocin in 19 cases (36.5 %), nine women had combined methods of induction (17.3 %). Prostaglandin E2 was used in three women (5.8 %). The incidence of successful VBAC in spontaneous labour was 72 %, however, when induced, the incidence of successful VBAC was 63.5 %. Compared to the spontaneous labour group, induced women had significantly higher rate of CS (36.5 vs. 28 %; P = 0.026). CONCLUSION: Women with one previous CS who undergo IOL have lower success rates of vaginal delivery compared to those presented in spontaneous labour. These findings might help clinicians and patients in the decision making for the method of delivery when it comes to pregnancy with a previous scar.
Ghadeer Al-Shaikh; Hazem Al-Mandeel
Related Documents :
3560066 - Prolonged delivery-abortion interval in twin and triplet pregnancies. a report of two c...
1400946 - Embryo reduction in multifetal pregnancies using saline injection: comparison between t...
20816146 - Failure of 17-hydroxyprogesterone to reduce neonatal morbidity or prolong triplet pregn...
9930286 - Adverse outcome after multiple pregnancy.
2335246 - Spontaneous pregnancy after a pregnancy induced by treatment in hyperprolactinemic women.
14986806 - Detection of fetal growth restriction in patients with chronic hypertension: is it feas...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-11
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  -     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Obstetrics and Gynecology, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Expression of the coxsackie and adenovirus receptor in human lung cancers.
Next Document:  HPV-16 exposed mouse embryos: a potential model for pregnancy wastage.