[Clinical management of vaginal delivery with previous cesarean section].
OBJECTIVE
To explore the feasibility of vaginal delivery with previous cesarean section.


METHODS
Eighty-seven randomly chosen pregnant women who had previously received cesarean section were enrolled in this study, and their consent was obtained to go through vaginal delivery.


RESULTS
Eighty cases (91.95%) completed vaginal deliveries successfully. Examination of the uterine cavity after labor found partial rupture of the uterine cicatrix in 1 case and immediate surgical repair was performed. Death occurred in none of the cases. Of all the cases of vaginal delivery, the rate of spontaneous labor was 35% and the rate of instrumental vaginal delivery rate was 65%. The Apgar score of 80 neonates one minute after birth was above 8 in 76 and 4 to 7 in 4 cases.


CONCLUSIONS
In pregnant women who have previous cesarean section, vaginal delivery can be possible when there are indications without contraindications.
Huang
Ping
P
Department of Obsterics and Gynecology, Taiping People's Hospital, Dongguan 523900, China.
Liu
Guo-Bing
GB
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D016064:Vaginal Birth after Cesarean