Prospective comparison of delivery outcomes of vaginal births after cesarean section versus laparoscopic myomectomy.
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.
Makino
Shintaro
S
Department of Obstetrics and Gynecology, Juntendo University School of Medicine, Tokyo, Japan. shintaro@med.Juntendo.ac.jp
Tanaka
Toshitaka
T
Itoh
Shigeru
S
Kumakiri
Jun
J
Takeuchi
Hiroyuki
H
Takeda
Satoru
S
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