Vaginal delivery following caesarean section.
A retrospective analysis was made of 456 patients who had previously undergone Caesarean section and who were considered suitable for a trial of labour. Sixty percent of patients had a vaginal delivery. Patients with obstructed labour or failure to progress as the indication for primary Caesarean section were significantly more likely to require a repeat operation but 44% of these patients still achieved a vaginal delivery. Patients who had had a vaginal delivery prior to, or subsequent to, the Caesarean section had a low incidence of repeat Caesarean section. X-ray pelvimetry was of limited value in predicting outcome. Intravenous oxytocin was used in 17% of patients. No uterine rupture occurred and no fetal mortality resulted directly due to the trial of labour. Trial of labour following Caesarean section is a safe procedure when conducted in an appropriate hospital setting.
D000293:Adolescent; D000328:Adult; D002585:Cesarean Section; D002986:Clinical Trials as Topic; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000209:etiology*; D010121:Oxytocin / Q000627:therapeutic use; D010387:Pelvimetry; D011247:Pregnancy; D012086:Reoperation; D012189:Retrospective Studies; D012306:Risk
D010121:Oxytocin