Vaginal delivery following caesarean section-the use of oxytocin and prostaglandins.
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.
Goldman
G A
GA
Department of Obstetrics and Gynaecology, Rabin Medical Center, Petah Tiqva, Israel.
Kaplan
B
B
Rabinerson
D
D
Biran
G
G
Amster
R
R
Ben-Rafael
Z
Z