PMID: 9631601Jun 19, 1998Paper

Vaginal birth after cesarean delivery: results in 310 pregnancies

The Journal of Obstetrics and Gynaecology Research
H ObaraI Sato

Abstract

To assess and compare the risk associated with a trial of vaginal birth after cesarean section (VBAC) with the risk of an elective repeat cesarean section. A retrospective review of the records of 310 consecutive women who, at the Jichi Medical School Hospital in the 6-year period of 1990 through 1995, had previously undergone a primary cesarean section and gave birth to a singleton infant weighing > or = 2,000 g at > or = 36 weeks of gestation in a subsequent pregnancy. Elective cesarean sections were performed on 96 (31%) of 310 women, and VBACs were attempted by 214 women (69%). Vaginal deliveries were successful in 132 (43%) of the 310 pregnancies. No maternal death or perinatal deaths occurred in either group. A uterine rupture occurred in 2 (0.9%) of the 214 women who attempted a VBAC, and 5 women (2.3%) gave birth to neonates with a 1-minute Apgar score < or = 6. None of the 96 women who underwent an elective cesarean section had such complications, although the difference in these complication rates did not reach a significant level. A trial of a VBAC significantly reduced the rate of cesarean sections. Although the rates of uterine rupture and neonatal asphyxia were slightly higher in women who attempted a VBAC than in...Continue Reading

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Citations

Jul 13, 2002·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A A Sobande, H Albar
Jun 1, 2001·Obstetrics and Gynecology·A ChungM L Druzin
Nov 14, 2002·The Journal of Obstetrics and Gynaecology Research·Fujio MizunoyaShigeo Inoue
Sep 9, 2005·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A O Aisien, A U Oronsaye
Jul 25, 2012·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Karen B EdenJeanne-Marie Guise
Apr 24, 2014·The Journal of Obstetrics and Gynaecology Research·Ryutaro NishidaHisanori Minakami
Sep 28, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Shunji SuzukiHidehiko Miyake
Jun 16, 2001·American Journal of Obstetrics and Gynecology·H BlanchetteS Vincent
Nov 21, 2000·American Journal of Obstetrics and Gynecology·E L Mozurkewich, E K Hutton
Nov 20, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·G BeucherM Dreyfus
May 29, 2004·Clinical Obstetrics and Gynecology·Alex MacarioMaurice L Druzin
Jun 28, 2000·The Australian & New Zealand Journal of Obstetrics & Gynaecology·B AppletonM Permezel
May 27, 2010·Obstetrics and Gynecology·Jeanne-Marie GuiseMarian McDonagh

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