Vaginal delivery after previous cesarean section in a rural West African hospital.
Two hundred twenty women with prior cesarean section were delivered at our institution between January 1987 and February 1990. Vaginal delivery was achieved in 111 (66%) of 169 patients given a trial of labor (TOL). Success of TOL correlated positively with the number of prior vaginal deliveries (P less than 0.05) and inversely with the number of prior cesarean sections (P less than 0.005). Maternal and fetal outcome were not significantly different between the TOL and non-TOL groups.
Department of Surgery, Rhode Island Hospital, Brown University, Providence.
C N
CN
Mock
L
L
Visser
T E
TE
Elkins
J B
JB
Wilson
D005260:Female; D005313:Fetal Death; D005869:Ghana; D006780:Hospitals, Rural; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D014219:Trial of Labor; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data*