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In a prospective study of 318 consecutive pregnancies complicated by previous Caesarean section, 193 (61%) had an elective repeat Caesarean section, 125 (39%) had a trial of labour and 80 (64%) of these women achieved a vaginal delivery. The incidence of uterine rupture was 0.8% (1 of 125). The vaginal delivery rate was not influenced by the indication for the first Caesarean section (including cephalopelvic disproportion), birth-weight, health insurance status, use of epidural analgesia or oxytocin in labour. Perinatal morbidity was unaffected by the mode of delivery and maternal morbidity was comparable following elective and emergency repeat Caesarean section. Patients having a vaginal deliver spent significantly less time in hospital. We conclude that vaginal delivery after lower segment Caesarean section is safe and should be considered in most patients after a critical review of the indication for the first Caesarean section.
M Miller, and
L R Leader
April 1953,
The Journal of obstetrics and gynaecology of the British Empire,
M Miller, and
L R Leader
January 2012,
Journal of Ayub Medical College, Abbottabad : JAMC,
M Miller, and
L R Leader
February 1993,
The Australian & New Zealand journal of obstetrics & gynaecology,
M Miller, and
L R Leader
August 2004,
BMJ (Clinical research ed.),
M Miller, and
L R Leader
July 1951,
The Medical journal of Australia,
M Miller, and
L R Leader
July 2005,
European journal of obstetrics, gynecology, and reproductive biology,
M Miller, and
L R Leader
January 1990,
Nursing times,
M Miller, and
L R Leader
September 1988,
Irish journal of medical science,
M Miller, and
L R Leader
February 1949,
The Journal of obstetrics and gynaecology of the British Empire,
M Miller, and
L R Leader
June 1954,
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde,
