Vaginal birth after cesarean delivery. Trial of labor in women with breech presentation.
Vaginal birth after cesarean delivery in a woman with breech presentation is a controversial issue. In this prospective study, 137 patients had a breech presentation. Of them, 27 (19.7%) met the protocol criteria for attempted vaginal delivery and desired a trial of labor. Thirteen (48%) achieved vaginal delivery, with no increase in fetal or maternal morbidity. Our data suggest that in selected patients, a trial of labor after a cesarean delivery with a breech presentation is a reasonable consideration.
Sarno
A P
AP
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles.
Phelan
J P
JP
Ahn
M O
MO
Strong
T H
TH
D001946:Breech Presentation; D002585:Cesarean Section / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007226:Infant Mortality; D010358:Patient Participation; D011247:Pregnancy; D011256:Pregnancy Outcome; D014219:Trial of Labor