[Management of labor following cesarean section].
Of 451 deliveries between 1 July 1981 and 30 June 1987, in patients having previously undergone a cesarean section, 279 (62%) were vaginal births, 80 (18%) were primary and 92 (20%) secondary repeat cesareans. The highest frequency of vaginal deliveries was in cases with prior abnormal presentation (87%). History continues to play an important role: vaginal deliveries were achieved in 59% of the cases in which the cesarean section was the only previous delivery. This rate increased to 89% if the subsequent birth was vaginal. Uterine rupture occurred in 10 cases (2.2%). The mode of delivery had no significant influence on the incidence of acidosis; in the repeat cesarean cases the newborns had poorer one-minute Apgar scores.
Ralph
G
G
Universitätsfrauenklinik Charlottenburg der Freien Universität Berlin.
Wessel
J
J
Lichtenegger
W
W
Schorer
P
P
D001238:Asphyxia Neonatorum / Q000209:etiology; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000209:etiology*; D011247:Pregnancy; D012086:Reoperation; D012307:Risk Factors; D014219:Trial of Labor; D014597:Uterine Rupture / Q000209:etiology*
Geburtsleitung bei Zustand nach Kaiserschnitt.