Vaginal birth after cesarean section: a reappraisal of risk

American Journal of Obstetrics and Gynecology
T J Yetman, T E Nolan

Abstract

A three-year retrospective study was performed to assess morbidity associated with an attempted vaginal birth after cesarean section at a tertiary level military obstetric hospital. Examination of delivery records revealed a 61.16% success rate for attempted vaginal births after cesarean sections. Mean birth weights differed significantly between successful and unsuccessful vaginal births after cesarean sections. Infants with birth weights greater than 3720 gm were less likely to be vaginally delivered. Those gravidas with a successful vaginal birth after cesarean section had a significantly higher rate of perineal lacerations, as compared with other vaginal births during the study period. The scar separation rate of 1.79% was significantly higher than the 0.50% rate reported elsewhere. One patient who attempted a vaginal birth after cesarean section required a cesarean hysterectomy after scar separation occurred during labor. There were two perinatal deaths, both of which occurred at greater than 40 weeks' gestation, for a perinatal mortality rate of 8.93/1000 births. Women who consider vaginal birth after cesarean section should be counseled with regard to the increased risk of perineal trauma. Estimates of fetal weight at te...Continue Reading

References

Mar 1, 1985·American Journal of Obstetrics and Gynecology·J M Horenstein, J P Phelan
Jun 1, 1980·Clinical Obstetrics and Gynecology·C E Gibbs

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Citations

Aug 1, 1995·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·K S Khan, A Rizvi
Oct 29, 1993·European Journal of Obstetrics, Gynecology, and Reproductive Biology·I I Bolaji, F P Meehan
Jun 1, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J M BaisO P Bleker
Nov 5, 1997·Clinical Obstetrics and Gynecology·J R Scott
Nov 26, 1999·Clinical Obstetrics and Gynecology·D A Wing, R H Paul
Aug 1, 1997·The Journal of Obstetrics and Gynaecology Research·F Perveen, Q Shah
Jan 1, 1997·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A B AjayiI F Adewole
Jun 1, 1991·American Journal of Obstetrics and Gynecology·G F JosephA G Robichaux
Dec 1, 1992·American Journal of Obstetrics and Gynecology·J StoneR L Berkowitz
Jun 11, 1992·American Journal of Obstetrics and Gynecology·M G PickhardtJ C Morrison
Dec 6, 2002·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Renee T RidleyDonna Sinclair
Jul 25, 2012·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Karen B EdenJeanne-Marie Guise
Nov 21, 2000·American Journal of Obstetrics and Gynecology·E L Mozurkewich, E K Hutton
Mar 22, 2006·Seminars in Perinatology·Gary D V Hankins, Monica Longo
Jan 10, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·Emmanuelle ParéGeorge A Macones

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