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Trial of labour in patients with a prior caesarean section and an intervening vaginal delivery. 1987

J Schneider, and D Gallego, and R Benito
Hospital Nacional Valdecilla, Department of Obstetrics and Gynaecology, Santander, Spain.

202 patients having had one vaginal delivery after a prior Caesarean section between 1980 and 1984 were followed-up to December, 1986; 77 of them came again for delivery during this time. Four elective Caesarean sections and 103 trials of labour were carried out in this patient group. Of these, 88 (85.4%) ended in vaginal delivery. There was no fetal loss, nor any significant maternal or fetal morbidity; in particular there was no uterine rupture or scar dehiscence. It is concluded that the prognosis for vaginal delivery is good once a successful trial of scar has occurred, so long as the labour is carefully monitored and a repeat Caesarean section performed when indicated.

UI MeSH Term Description Entries
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D002585 Cesarean Section Extraction of the FETUS by means of abdominal HYSTEROTOMY. Abdominal Delivery,Delivery, Abdominal,C-Section (OB),Caesarean Section,Postcesarean Section,Abdominal Deliveries,C Section (OB),C-Sections (OB),Caesarean Sections,Cesarean Sections,Deliveries, Abdominal
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013529 Surgical Wound Dehiscence Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound. Dehiscence, Surgical Wound,Wound Dehiscence, Surgical
D014219 Trial of Labor Allowing a woman to be in LABOR, OBSTETRIC long enough to determine if vaginal birth may be anticipated. Labor Trial,Labor Trials
D036861 Delivery, Obstetric Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions. Obstetric Delivery,Deliveries, Obstetric,Obstetric Deliveries

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