[Trial of labor after cesarean section. Two years' experience].
A retrospective study was undertaken to evaluate the incidence of vaginal delivery in women that previously undergone a cesarean section; in addition, incidence of complications such as uterine rupture and scar dehiscence were evaluated. During the two years reviewed, 251 out of 324 women with a previous cesarean section were allowed to labor; 64.1% had a vaginal delivery. Uterine rupture occurred in 0.8% of the patients of the trial of labor group: no other significant maternal and/or fetal complications were seen; scar dehiscence occurred in 3.3%. Statistical analysis didn't show any increase in complications when oxytocin was used to stimulate uterine activity. It is concluded that trail of labor and delivery after cesarean section is a safe option in a large number of patients.
Alves
M F
MF
Serviço de Ostetrícia, Hospital de Santa Maria, Faculdade de Medicina de Lisboa.
Cordeiro
A
A
Cardoso
M da C
Mda C
Graça
L M
LM
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000209:etiology*; D014219:Trial of Labor; D014597:Uterine Rupture / Q000209:etiology*
Prova de trabalho de parto após cesariana. Dois anos de experiência.