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Vaginal delivery after one cesarean section
Author(s) -
Walt W.A.,
Cronjé H.S.,
Bam R.H.
Publication year - 1994
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(94)90405-7
Subject(s) - medicine , vaginal birth , vaginal delivery , obstetrics , population , cesarean delivery , maternal morbidity , elective cesarean section , gynecology , pregnancy , genetics , environmental health , biology
Objective: To determine the success rate and safety of vaginal delivery after a previous cesarean section in a South African teaching hospital serving a developing community. Method: One hundred eighty‐nine women with a history of one previous cesarean section were studied during a 10.5‐month period. Maternal morbidity was studied in 92 of these patients who had infants weighing 2500 g or more. During the study period 5044 women delivered at the hospital. Results: In the study group of 189 women, 85 (44.9%) delivered vaginally, 65 (34.4%) by cesarean section during labor and 39 (20.6%) had elective cesarean sections. One maternal and two perinatal deaths occurred. In the subgroup of 92 women with babies weighing 2500 g or more at birth, 10 women (10.9%) experienced morbidity related to trial of scar. Conclusion: Vaginal birth was accomplished less often in this population compared with reports from developed countries, but the procedure was equally safe.