Vaginal birth after cesarean section in rural Tanzania.
Eighty-seven of 134 women with a history of previous cesarean section in two rural hospitals in Tanzania had a vaginal delivery after a trial of labor. The incidence of scar-rupture was high: in 9 of 134 cases (6.7%). Maternal death, however, did not occur. It is concluded that a trial of labor is justified, and that the risk of scar-rupture should be balanced with the risk of repeat operations.
van Roosmalen
J
J
Department of Obstetrics and Gynaecology, Leiden State University Hospital, The Netherlands.
D002585:Cesarean Section / Q000401:mortality; D002921:Cicatrix / Q000150:complications; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D011247:Pregnancy; D012423:Rural Health / Q000706:statistics & numerical data; D013636:Tanzania / Q000453:epidemiology; D014219:Trial of Labor; D014597:Uterine Rupture / Q000209:etiology / Q000401:mortality; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data*