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Six Years' Experience with Vaginal Births after Cesareans at Booth Maternity Center in Philadelphia
Author(s) -
Wilf Ruth T.,
Franklin John B.
Publication year - 1984
Publication title -
birth
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.233
H-Index - 83
eISSN - 1523-536X
pISSN - 0730-7659
DOI - 10.1111/j.1523-536x.1984.tb00733.x
Subject(s) - medicine , cephalopelvic disproportion , obstetrics , vaginal birth , pregnancy , forceps , gynecology , vaginal delivery , caesarean section , surgery , genetics , biology
From 1976 through 1981, of 188 women who had had previous cesarean sections, 84 had trials of labor. Sixty‐six (78.6%) delivered vaginally, 10 with the aid of forceps. Eighteen women (27%) whose previous cesarean sections had been done for cephalopelvic disproportion delivered vaginally and several had larger babies vaginally than by previous cesarean section. There were 7 minor complications, including an asymptomatic window in the uterus; 2 Bandl's rings; a urinary tract infection; an infant with a low Apgar score due to a nuchal cord; and a premature baby.In 1980–81, 42 women with previous cesareans had trials of labor and 33 delivered vaginally. The nine trials of labor ending in repeat cesarean were due to failure to progress. In 1980–81, of 21 women who initially requested vaginal births after cesareans (VBACs) but had cesarean sections, 4 changed their minds during pregnancy, 7 had small pelves on previous pelvimetry; 2 had vertical uterine scars; 4 had malpresentations; one was unexplained; and 3 had ruptured membranes for over 12 hours.