Two vaginal deliveries after a classical caesarean section--case reports.
It is standard practice to offer a parturient who has had a classical Caesarean section an elective repeat Caesarean section due to the fear of uterine rupture. The strong aversion of our women to operative delivery does not allow an appreciable number to avail themselves of hospital delivery even after Caesarean section. We report the case of a booked patient who had a classical Caesarean section but defaulted in two subsequent pregnancies to have vaginal deliveries in a private hospital. We therefore suggest a more liberal attitude to allowing attempt at vaginal delivery as an informed decision in well-equipped facilities capable of easy and prompt resort to appropriate intervention.
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Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, P.M.B. 1111, Benin City, Nigeria. ande.aba@uniben.edu
Onofowokan
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Njoku
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D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D014219:Trial of Labor; D014597:Uterine Rupture / Q000517:prevention & control; D016064:Vaginal Birth after Cesarean