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Vaginal birth after cesarean section in rural Tanzania
Author(s) -
van Roosmalen J.
Publication year - 1991
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(91)90351-5
Subject(s) - medicine , tanzania , vaginal birth , incidence (geometry) , obstetrics , uterine rupture , section (typography) , vaginal delivery , gynecology , pregnancy , socioeconomics , uterus , genetics , physics , sociology , optics , business , biology , advertising
Eighty‐seven of 134 women with a history of previous cesarean section in two rural hospitals in Tanzania had a vaginal delivery after a trial of labor. The incidence of scar‐rupture was high; in 9 of 134 cases (6.7%). Maternal death, however, did not occur. It is concluded that a trial of labor is justified, and that the risk of scar‐rupture should be balanced with the risk of repeat operations.