Cervical ripening and labor induction after previous cesarean delivery.
The preponderance of published data derived from TOL/VBAC patients indicate that (1) if there is no contraindication to spontaneous cervical ripening, there is no contraindication to use of prostaglandin gel or tents to ripen the cervix; and (2) if there is no contraindication to the spontaneous onset of labor, there is no contraindication to use of oxytocin or amniotomy to induce labor. Both conclusions are based on the assumption that treatment and care is provided in a safe, modern obstetric service with staff and resources compatible with national standards.
Chez
R A
RA
Department of Obstetrics and Gynecology, University of South Florida, College of Medicine, Tampa 33606, USA.
D000075202:Contraindications; D005260:Female; D006801:Humans; D007751:Labor, Induced; D011247:Pregnancy; D014219:Trial of Labor; D016064:Vaginal Birth after Cesarean