title: [Trial of labor after cesarean section. Two years' experience].
abstract: 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.
authors.affiliation: Serviço de Ostetrícia, Hospital de Santa Maria, Faculdade de Medicina de Lisboa.
authors.forename: M F
authors.initials: MF
authors.lastname: Alves
authors.forename: A
authors.initials: A
authors.lastname: Cordeiro
authors.forename: M da C
authors.initials: Mda C
authors.lastname: Cardoso
authors.forename: L M
authors.initials: LM
authors.lastname: Graça
mesh_terms: 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*
vernacular_title: Prova de trabalho de parto após cesariana. Dois anos de experiência.