title: Efforts to promote vaginal delivery after a previous cesarean section.
abstract: OBJECTIVE
  The aim of this study was to examine the results of vaginal delivery in patients with a past history of cesarean section.
  
  
  METHODS
  The type of delivery, interventions during delivery, and the prognoses of the mothers and babies were examined in 145 women with a history of cesarean section over the 10-year period from January 2000 to December 2009.
  
  
  RESULTS
  A scheduled cesarean section was performed in 27 cases. Vaginal delivery was recommended in 118 cases and the success rate was 94.9% (112/118). Uterine rupture was observed in one patient who experienced a natural rupture at home and whose previous cesarean section was an inverse T incision. No cases required a blood transfusion or hysterectomy.
  
  
  CONCLUSIONS
  The prognoses of both mothers and babies were good and the vaginal delivery success rate was 94.9%. Uterine rupture was observed in one case. Vaginal delivery with previous cesarean section should be considered in cases with expectation and informed consent.
authors.affiliation: Department of Obstetrics and Gynecology, Tokyo Metropolitan Police Hospital, Tokyo, Japan. hamai@keisatsubyoin.or.jp
authors.forename: Yoko
authors.initials: Y
authors.lastname: Hamai
authors.forename: Yukio
authors.initials: Y
authors.lastname: Imanishi
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011379:Prognosis; D012189:Retrospective Studies; D014597:Uterine Rupture / Q000209:etiology; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects / Q000193:education*