[Vaginal delivery with scarred uterus at the Hotel-Dieu of France, Beirut].
Vaginal deliveries on a scarred uterus are actually admitted and done in many obstetrics-gynecology centers throughout the world. A uterine scar does not represent a formal indication for a repeat cesarean section anymore. In this article, the results of a retrospective study between January 1980 and December 1989 are reported. We reviewed all the files of women having a scarred uterus, delivering at "Hotel-Dieu de France", vaginally or by repeat cesarean section. This study concerns 560 women: 500 delivering by repeat cesarean section & 60 having a trial of labor, 45 of which delivering vaginally. A lot of parameters are compared, such as: days of hospitalization, antibiotic coverage, and materno-foetal complications. No uterine rupture was reported. The hospital stay was reduced following vaginal delivery after the trial of labor. A trial of labor on a scarred uterus, taking some precautions, seems tempting, without enhancing feto-maternal morbidity and mortality.
Bou Saba
C
C
Service de Gynécologie & Obstétrique, Hôtel-Dieu, France.
Nabhane
G
G
Abboud
J
J
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002585:Cesarean Section / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000706:statistics & numerical data; D007861:Lebanon / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D014219:Trial of Labor; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data*
D000900:Anti-Bacterial Agents
Accouchement par voie basse sur utérus cicatriciel a l'Hôtel-Dieu de France, Beyrouth.