Vaginal birth after cesarean section at the University of Texas.
Vaginal delivery was successful in 76% of the 242 women who underwent a trial of labor after cesarean section in a prior pregnancy. Separation of the uterine scar occurred in four women (1.7%). Women whose prior cesarean section was for breech presentation had the highest rate of successful vaginal delivery (86%). The vaginal delivery rates were similar in women who delivered infants with birth weights > or = 4,000 g (73%) and < 4,000 g (76%). The use of epidural anesthesia and oxytocin may enhance the success of vaginal delivery in women undergoing a trial of labor following an earlier cesarean section.
Nguyen
T V
TV
Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston 77550-2778.
Dinh
T V
TV
Suresh
M S
MS
Kinch
R A
RA
Anderson
G D
GD
D000767:Anesthesia, Epidural; D001034:Apgar Score; D001724:Birth Weight; D002585:Cesarean Section; D004841:Episiotomy / Q000009:adverse effects; D005260:Female; D005313:Fetal Death; D006801:Humans; D010121:Oxytocin / Q000627:therapeutic use; D011247:Pregnancy; D012189:Retrospective Studies; D014219:Trial of Labor; D016064:Vaginal Birth after Cesarean
D010121:Oxytocin