VAGINAL DELIVERY AFTER CESAREAN SECTION
Abstract
Methods: This retrospective study was conducted in Women & Children Hospital, Abbottabad to determine theoutcome of subsequent labour in women with a previous cesarean section for a non-recurrent cause. Results: From 1stJanuary, 1996 to 31st Dec. 1998, 260 patients with a previous lower segment C. Section were admitted out of which120 patients were selected for trial of labour. 108 (41.53%) patients had a successful vaginal delivery while 12 (4.62%)ended up with a secondary C. Section, indicating a success rate of 90%. Conclusion: This study proves that vaginaldelivery is possible in carefully selected patients with lesser maternal morbidity.References
Lomas J. Holding back the tide of Caesareans. BMJ
29M: 569-570.
Dutf P Southmayd K. Read JA. Outcome of trial of
labour in patients with a single previous low transverse
Caesarean section for dystocia. Obstet Gynecol 1988,
: 380-384.
Jongen V.H.W.M, Halfwerk M.G.C, Brouwer W.K.
Vaginal delivery after previous Caesarean section for
failure of second stage of labour. British Journal of
Obstetrics and Gynaecology October 1998, Vol. 105,
PP. 1079-1081.
Vaginal delivery after Caesarean section in SubSaharan. Africa. British Journal of Obstetrics &
Gynaecology Dec. 1997, vol. 104. PP. 1335-1338.
Hoskins I A, Gomez JL. Correlation between maximum
cervical dilatation at Cesarean delivery. Obstet Gynecol
:89:591-593.
Clerk SL, Eington GS, Beall M, Phelan JP. Effect of
indication for previous Cesarean section on subsequent
delivery outcome in patients undergoing a trial of
labour J. Reprod Med. 1984:29: 22-25.
Peel J.H and Chamberlain G.V.P (1968) J. Obstet,
Gynec. British. Growth. 75, 1282
Browne ADH. MC Grath J. Vaginal delivery after
previous Caesarean section. J. Obstet Gynaecol Br Emp
, 72:557-563
