Vaginal birth after one previous caesarean section: a Jordanian experience.
In this prospective study, 119 women out of 135 (88%) of cases delivered previously by one lower segment caesarean section at Princess Basma Teaching Hospital in North Jordan, had a trial of labour, 103 out of 119 women (86.6%) delivered vaginally. A high incidence of vaginal delivery occurred in women originally delivered by caesarean section for cephalopelvic disproportion (CPD) (69%). Repeat caesarean section was necessary only in 13.4% of women mainly because of CPD and foetal distress. Labour was induced for obstetric reason only. The incidence of scar rupture was very low 1 of 119 cases (0.8%), with no maternal deaths. The duration of labour doesn't differ significantly for those who had from those who never had vaginal delivery before. So it is relatively safe to have a trial of labour in patients delivered previously by one caesarean section.
Abu-Heija
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AT
Department of Obstetrics and Gynaecology, Jordan University of Science and Technology, Irbid, Jordan.
D017604:Cesarean Section, Repeat; D005260:Female; D006801:Humans; D007597:Jordan; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data