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Mode of delivery after one cesarean section
Author(s) -
van Bogaert L.J.
Publication year - 2004
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/j.ijgo.2004.05.015
Subject(s) - medicine , dysfunctional family , obstetrics , cesarean delivery , cervical dilatation , pregnancy , gynecology , cervix , clinical psychology , genetics , cancer , biology
Abstract Objectives : to investigate labor patterns and mode of delivery of aginal births after cesarean (VBAC) versus unsuccessful trial of labor after cesarean (TOLAC) in a South African district hospital, and the influence of the indication for the primary cesarean section (C‐section) on the subsequent mode of delivery. Methods : Retrospective audit of the partogram of 202 VBAC and 382 repeat C‐section. There were 108 elective repeat cesarean deliveries (ERCD) and 274 emergency repeat C‐sections after unsuccessful TOLAC. The indication of the primary C‐section was known in 127: 43 (33.9%) VBAC and 84 (66.1%) repeat C‐sections. Results : The indication for the primary C‐section in terms of recurrent/non‐recurrent did not affect the subsequent mode of delivery ( χ 2 =3.5; P =0.06; OR 0.49, 95% CI 0.23–1.04). The indication of the primary C‐section in terms of dysfunctional/non‐dysfunctional labor did not reoccur in the same parturients ( χ 2 =0.01; P =0.91; OR 0.94, 95% CI 0.35–2.55). Conclusion : Dysfunctional labor accounted for most primary and repeat emergency C‐sections, but not as a recurrent condition in the same parturients.