title: Prospective comparison of delivery outcomes of vaginal births after cesarean section versus laparoscopic myomectomy.
abstract: OBJECTIVE
  This study was designed to assess the delivery outcomes of vaginal birth after cesarean section in comparison with delivery after laparoscopic myomectomy.
  
  
  METHODS
  The following data were collected: the proportion of patients who attempted vaginal birth, success rate, maternal age, previous number of vaginal deliveries, gestational weeks, birthweight, Apgar score, umbilical blood pH, and duration of labor in cases with a successful vaginal birth.
  
  
  RESULTS
  The proportion of patients who attempted the vaginal birth differed significantly between the two groups (P < 0.0001). There were no significant differences in success rate, maternal age, number of previous vaginal deliveries, gestational weeks, birthweight, Apgar score or umbilical blood pH, although the mean duration of labor differed significantly (P = 0.006).
  
  
  CONCLUSIONS
  The present investigation confirmed that vaginal birth after laparoscopic myomectomy is as safe as vaginal birth after cesarean section.
authors.affiliation: Department of Obstetrics and Gynecology, Juntendo University School of Medicine, Tokyo, Japan. shintaro@med.Juntendo.ac.jp
authors.forename: Shintaro
authors.initials: S
authors.lastname: Makino
authors.forename: Toshitaka
authors.initials: T
authors.lastname: Tanaka
authors.forename: Shigeru
authors.initials: S
authors.lastname: Itoh
authors.forename: Jun
authors.initials: J
authors.lastname: Kumakiri
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Takeuchi
authors.forename: Satoru
authors.initials: S
authors.lastname: Takeda
mesh_terms: D000328:Adult; D001724:Birth Weight; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy; D009215:Myometrium / Q000601:surgery; D011247:Pregnancy; D011446:Prospective Studies; D016064:Vaginal Birth after Cesarean