Trial of labour in patients with a prior caesarean section and an intervening vaginal delivery.
202 patients having had one vaginal delivery after a prior Caesarean section between 1980 and 1984 were followed-up to December, 1986; 77 of them came again for delivery during this time. Four elective Caesarean sections and 103 trials of labour were carried out in this patient group. Of these, 88 (85.4%) ended in vaginal delivery. There was no fetal loss, nor any significant maternal or fetal morbidity; in particular there was no uterine rupture or scar dehiscence. It is concluded that the prognosis for vaginal delivery is good once a successful trial of scar has occurred, so long as the labour is carefully monitored and a repeat Caesarean section performed when indicated.
Hospital Nacional Valdecilla, Department of Obstetrics and Gynaecology, Santander, Spain.
J
J
Schneider
D
D
Gallego
R
R
Benito
D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D011247:Pregnancy; D013529:Surgical Wound Dehiscence; D014219:Trial of Labor