THE DILEMMA OF ACCOMPLISHING VAGINAL DELIVERY AFTER CESAREAN SECTION

Authors

  • Γ. ΓΑΛΑΖΙΟΣ
  • Β. ΛΥΜΠΕΡΗΣ
  • Γ. ΚΟΥΤΣΟΥΓΕΡΑΣ
  • Π. ΚΕΛΕΜΙΔΗΣ
  • Π. ΑΝΑΣΤΑΣΙΑΔΗΣ

Abstract

Between January 1986 and December 1990 three hundred and sixty three patients underwent a trial οf labor at our Department. Α hundred and fifty οf them delivered vaginally (41.33%) while two hundred and thirteen underwent a Cesarean section (58.67%). The maternal and perinatal mortality was 0%. Thus, we conclude that vaginal birth after Cesarean section is safe for a considerable number οf patients and that a history οf multiple cesarean sections need not exclude the patient from the option οf vaginal birth.

References

Schurholz W, Scholz Β.: Zur Geburtsleitung nach νorausgegangenem Kaiserschnitt. Der Frauenarzt. 1989; 7:695.

Flamm, B.L., Ο. W. Lim, C. Jones, D. FaJJon, L.A. Nwman, J.Κ. Mantis: Vaginal birth after cesarean section: Results of a multicenter study. Am. J. Obstet. Gynecol. 1988; 158:1079.

Gleicher Ν.: Cesarean section rates in the United States. Jama 1984; 252:3273.

Κirkwood, Κ.S., J.P. Logerfo, L.E. Κarp: Eνaluation of electiνe cesarean section as a standard of care: An Application of decision analysis. Am. J. Obstet. Gynecol. 139 (1981) 123.

Silνer. R.K., J. Minogue: When does a statistical fact become an ethical imperatiνe? Am. J. Obstet Gynecol. 157 (1987) 229.

Notzon F.C., P.J. Placek, S.M Taffel: Comparisons of national cesarean section rates. Ν. Engl. J. Med. 316 (1987) 386.

Moldin Ρ., Κ.Η. Hokefard, T.F. Nielsen: Cesarean section and maternal mortality in Sweden 1973-1979. Acta Obstet. Gynecol. Scand. 63 (1984) 7.

James R. Scott, MD. Mandatory Trial of Labor after cesarean delivery: An altematiνe νiewpoint. Obstet. Gynecol 77:811, 1991.

Richard Ο. Jones MD, Anne W. Nagashima MD, Margaret Μ., Hartnett-Googman MD, Robert C., Goodlin MD.: Rupture of low transνerse Cesarean Scars during trial of Labor. Obstet Gynecol 77:815, 1991.

Κathleen Μ., Pruett MD, Brian Κirshon MD, Daνid Β., Cotton MD, Alfred Ν. Poindexter III, MD.: Is νaginal birth after two or more Cesarean sections safe? Obstet. Gynecol 72: 163, 1988.

Plauch WC, Von Almen W, Muller R.: Catastrophic uterine rupture. Obstet Gynecol 1984;64:792-7.

Ollendorff D.A., J.M. Goldberg, J.P. Minogue, ML. Socol: Vaginal birth after cesarean section for arrest of labor: Is success determinated by maximum cerνical dilatation during the prior labor? Am. J. Obstet. Gynecol. 159 (1988) 638.

Paul R.H., J.P. Phelan, S. Yeh: Trial of labor in the patient with a prior cesarean birth. Am. J. Obstet. gynecol 151 (1985) 297.

Shiono Ρ.Η., J.G. Fielden, D. Mcnellis, G.G. Rhoads, W.H. Pears: Recent trends in cesarean birth and trial of labor rates in the United States. Jama 257 (1987) 494.

Pruett. Κ.Μ., Β. Kirshon, D.B. Cotton: Unknown uterine scar and trial of labor. Am. J. Obstet. Gynecol. 159 (1988) 807.

Silver L., M.S. Wolfe: Unnecessary cesarean section: How to cure a national epidemic. Public citizens health research group 1989.