A trial of labor after cesarean section in patients with or without a prior vaginal delivery.
OBJECTIVE
To determine the outcome of labor in women with a previous cesarean section, with or without prior vaginal delivery.


METHODS
Records were reviewed for 1065 women with a previous cesarean section at 'Virgen Macarena' Hospital who were attended for a subsequent labor.


RESULTS
Chi-squared tests demonstrated that women with previous vaginal delivery (n = 346) had a significantly higher rate of vaginal delivery after a trial of labor (95.24%) than those without previous vaginal delivery (n = 719) (82.95%). All the ruptures of uterine scar (n = 4) were found in women without previous vaginal delivery.


CONCLUSIONS
It appears that a cesarean section in a multiparous woman is not a determinant fact in her reproductive history and the risk of rupture of uterine scar did not appear to be present.
Bedoya
C
C
Department of Obstetrics and Gynecology, Clinical Hospital Virgen Macarena, University of Seville, Spain.
Bartha
J L
JL
Rodriguez
I
I
Fontan
I
I
Bedoya
J M
JM
Sanchez-Ramos
J
J
D002585:Cesarean Section / Q000592:standards*; D036861:Delivery, Obstetric / Q000379:methods / Q000592:standards*; D005069:Evaluation Studies as Topic; D005260:Female; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D007226:Infant Mortality; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D013030:Spain / Q000453:epidemiology; D014219:Trial of Labor; D014597:Uterine Rupture / Q000453:epidemiology / Q000209:etiology