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.
Department of Obstetrics and Gynecology, Clinical Hospital Virgen Macarena, University of Seville, Spain.
C
C
Bedoya
J L
JL
Bartha
I
I
Rodriguez
I
I
Fontan
J M
JM
Bedoya
J
J
Sanchez-Ramos
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