Vaginal delivery after one cesarean section

Objective: To determine the success rate and safety of vaginal delivery after a previous cesarean section in a South African teaching hospital serving a developing community. Method: One hundred eighty-nine women with a history of one previous cesarean section were studied during a 10.5-month period...

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Veröffentlicht in:International journal of gynecology and obstetrics 1994-09, Vol.46 (3), p.271-277
Hauptverfasser: van der Walt, W.A., Cronjé, H.S., Bam, R.H.
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container_end_page 277
container_issue 3
container_start_page 271
container_title International journal of gynecology and obstetrics
container_volume 46
creator van der Walt, W.A.
Cronjé, H.S.
Bam, R.H.
description Objective: To determine the success rate and safety of vaginal delivery after a previous cesarean section in a South African teaching hospital serving a developing community. Method: One hundred eighty-nine women with a history of one previous cesarean section were studied during a 10.5-month period. Maternal morbidity was studied in 92 of these patients who had infants weighing 2500 g or more. During the study period 5044 women delivered at the hospital. Results: In the study group of 189 women, 85 (44.9%) delivered vaginally, 65 (34.4%) by cesarean section during labor and 39 (20.6%) had elective cesarean sections. One maternal and two perinatal deaths occurred. In the subgroup of 92 women with babies weighing 2500 g or more at birth, 10 women (10.9%) experienced morbidity related to trial of scar. Conclusion: Vaginal birth was accomplished less often in this population compared with reports from developed countries, but the procedure was equally safe.
doi_str_mv 10.1016/0020-7292(94)90405-7
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elsevier ScienceDirect Journals
subjects Biological and medical sciences
Birth Weight
Black women
Delivery. Postpartum. Lactation
Developing Countries
Female
Gynecology. Andrology. Obstetrics
Humans
Infant Mortality
Infant, Newborn
Maternal Mortality
Maternal, fetal and perinatal monitoring
Medical sciences
Morbidity
Population Surveillance
Pregnancy
Previous cesarean section
Risk Factors
South Africa - epidemiology
Trial of Labor
Vaginal Birth after Cesarean - adverse effects
Vaginal Birth after Cesarean - statistics & numerical data
Vaginal delivery
title Vaginal delivery after one cesarean section
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