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Vaginal birth following two previous cesarean sections.

F Bretelle·L Cravello·R Shojai·V Roger·C D'ercole·B Blanc
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Abstract

OBJECTIVE: To evaluate the management of vaginal delivery among women with two previous cesarean sections. The maternal and fetal morbidities of this attitude were studied. SETTING: University hospital. DESIGN: Retrospective study made over 6 years, from January 1st 1990 to December 31st 1995. PATIENTS: Among 180 patients with two uterine scars, 96 patients with cephalic presentation and normal pelvic dimensions were allowed trial of labor. RESULTS: The rate of vaginal birth following trial of labor was 65.6%. Three patients had an uterine scar dehiscence; among them, one hysterectomy was performed for haemorrhage with uterine atony. Neonatal issue was always favorable. Twenty-two newborns had superior birthweights compared to those born from the preceding cesarean section. CONCLUSION: Trial of labor following two previous cesarean sections is acceptable in the majority of cases. It leads to a high vaginal delivery rate and low maternal and fetal morbidity.

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Analgesia, EpiduralBirth WeightCesarean Section, RepeatFemaleHumansInfant, NewbornOxytocicsPregnancyPressureTrial of LaborUterusVaginal Birth after CesareanJournal Article

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F Bretelle, L Cravello, R Shojai, V Roger, C D'ercole, B Blanc. 2001. Vaginal birth following two previous cesarean sections.. https://doi.org/10.1016/s0301-2115(00)00328-6

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