Vaginal birth after cesarean section: current opinion.
Although the current literature attests to the merits of a trial of labor in the patient with a prior cesarean section, some controversies remain. For example, can women with two or more sections be allowed a trial of labor and can patients who undergo a trial of labor receive oxytocin or prostaglandins for induction? Also, do certain indications for previous cesarean section such as relative cephalopelvic disproportion/failure to progress or the diagnosis of breech or twins in the present pregnancy constitute an indication for elective repeat cesarean delivery? These questions along with some other controversies are discussed in the light of newly accumulated data in the English literature and our own experience over the last decade in a major university-based tertiary medical center.
Weinstein
D
D
Department of Obstetrics and Gynecology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Benshushan
A
A
Ezra
Y
Y
Rojansky
N
N
D000767:Anesthesia, Epidural; D001946:Breech Presentation; D017604:Cesarean Section, Repeat; D015232:Dinoprostone / Q000494:pharmacology; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000379:methods; D007743:Labor, Obstetric / Q000187:drug effects; D010121:Oxytocin / Q000494:pharmacology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D014219:Trial of Labor; D014427:Twins; D016064:Vaginal Birth after Cesarean
D010121:Oxytocin; D015232:Dinoprostone