title: Vaginal delivery after one cesarean section.
abstract: OBJECTIVE
  To determine the success rate and safety of vaginal delivery after a previous cesarean section in a South African teaching hospital serving a developing community.
  
  
  METHODS
  One hundred eighty-nine women with a history of one previous cesarean section were studied during a 10.5-month period. Maternal morbidity was studied in 92 of these patients who had infants weighing 2500 g or more. During the study period 5044 women delivered at the hospital.
  
  
  RESULTS
  In the study group of 189 women, 85 (44.9%) delivered vaginally, 65 (34.4%) by cesarean section during labor and 39 (20.6%) had elective cesarean sections. One maternal and two perinatal deaths occurred. In the subgroup of 92 women with babies weighing 2500 g or more at birth, 10 women (10.9%) experienced morbidity related to trial of scar.
  
  
  CONCLUSIONS
  Vaginal birth was accomplished less often in this population compared with reports from developed countries, but the procedure was equally safe.
authors: Department of Obstetrics and Gynecology, University of the Orange Free State, Bloemfontein, South Africa.
authors: W A
authors: WA
authors: van der Walt
authors: H S
authors: HS
authors: Cronjé
authors: R H
authors: RH
authors: Bam
mesh_terms: D001724:Birth Weight; D003906:Developing Countries; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008428:Maternal Mortality; D009017:Morbidity; D011159:Population Surveillance; D011247:Pregnancy; D012307:Risk Factors; D013019:South Africa / Q000453:epidemiology; D014219:Trial of Labor; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects / Q000706:statistics & numerical data*