title: Vaginal delivery following caesarean section-the use of oxytocin and prostaglandins.
abstract: Five hundred and twenty women with one previous caesarean section underwent a trial of labour in our department during the past five years. They were divided into three groups-those receiving oxytocin, those receiving prostaglandins, and those unstimulated who had spontaneous labour. The obstetric outcomes were compared. Rates of vaginal delivery in the three groups were 65%, 67% and 72%, respectively. No mother died and there were no cases of complete uterine rupture. Our results confirm similar reports that vaginal delivery after a previous caesarean section can be safely achieved in about two-thirds of patients. Serious complications are minimal when the use of oxytocin and prostaglandins is carefully monitored.
authors.affiliation: Department of Obstetrics and Gynaecology, Rabin Medical Center, Petah Tiqva, Israel.
authors.forename: G A
authors.initials: GA
authors.lastname: Goldman
authors.forename: B
authors.initials: B
authors.lastname: Kaplan
authors.forename: D
authors.initials: D
authors.lastname: Rabinerson
authors.forename: G
authors.initials: G
authors.lastname: Biran
authors.forename: R
authors.initials: R
authors.lastname: Amster
authors.forename: Z
authors.initials: Z
authors.lastname: Ben-Rafael