Predictor of successful vaginal delivery after cesarean section Demianczuk N, Hunter D, Taylor D: Trial of labor after previous cesarean section: Prognostic indicators of outcome. Am J Obstet Gynecol 142: 640. 1982

1982 ◽  
Vol 27 (6) ◽  
pp. 39
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Obstet Gynecol ◽  
Prognostic Indicators ◽  
Previous Cesarean Section ◽  
Trial Of Labor ◽  
Previous Cesarean

Epidural Analgesia for Planned Vaginal Delivery Following Previous Cesarean Section

1985 ◽  
Vol 29 (5) ◽  
pp. 282
Author(s):  
V. RUDICK ◽  
D. NIV ◽  
M. HETMNA-PETRI ◽  
E. GELLER ◽  
A. AVNI ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Epidural Analgesia ◽  
Vaginal Delivery ◽  
Previous Cesarean Section ◽  
Previous Cesarean

scholarly journals Outcomes of induction in trial of labor after cesarean delivery

2019 ◽  
Vol 8 (3) ◽  
pp. 1076
Author(s):  
Anubha Varshney ◽  
Zehra Mohsin
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Mode Of Delivery ◽  
Neonatal Morbidity ◽  
Induction Of Labor ◽  
Control Group ◽  
Study Group ◽  
Previous Cesarean Section ◽  
Trial Of Labor ◽  
Previous Cesarean

Background: The objective of this study is to evaluate the outcomes of induction of labor in women attempting trial of labor after cesarean delivery and to compare maternal and neonatal morbidity and mortality in women who were induced to those delivering spontaneously.Methods: The prospective study was carried out in the Department of Obstetrics and Gynecology in collaboration with the Neonatal Section, Department of Pediatrics at J.N. Medical College and Hospital, AMU Aligarh. The sample included 280 women with one previous cesarean section, of whom 130 women underwent induction of labor (study group) and 150 were admitted with spontaneous onset of labor. Prostaglandin gel and intracervical Foley’s were used for cervical ripening in the study group. Indication of cesarean section, mode of delivery, maternal and neonatal outcome were studied in between groups.Results: Overall rate of vaginal delivery after cesarean section was 45.3% and 56% in both study and control group respectively. The rate of cesarean section were higher in women who were induced and having unfavorable cervix. Maternal and neonatal morbidity were not significantly higher as compared in both groups, however one case of scar rupture was found in study group.Conclusions: Induction of labor in women with previous cesarean section had higher rates of cesarean section however it does not adversely affect neonatal and maternal morbidity. Overall vaginal birth is safe and effective in women with previous cesarean section by prostaglandin gel or intracervical Foley’s. Authors cautiously suggest, induction of labor should be considered in preselected patient with strict monitoring.

Trial of labor in patients with a previous cesarean section: does maternal age influence the outcome?

2004 ◽  
Vol 190 (4) ◽  
pp. 1113-1118 ◽  
Author(s):  
Emmanuel Bujold ◽  
Ahmad O Hammoud ◽  
Israel Hendler ◽  
Susan Berman ◽  
Sean C Blackwell ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Maternal Age ◽  
Previous Cesarean Section ◽  
Trial Of Labor ◽  
Previous Cesarean

scholarly journals Trial of labor after previous cesarean delivery (TOLAC) and association of BMI and previous vaginal delivery with frequency of VBAC

2016 ◽  
Vol 15 (4) ◽  
pp. 546-550 ◽  
Author(s):  
Huma Tasleem ◽  
Haider Ghazanfar
Keyword(s):  
Cesarean Section ◽  
Success Rate ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Health Centre ◽  
Tertiary Care ◽  
Vaginal Birth ◽  
Trial Of Labor ◽  
Emergency Cesarean ◽  
Previous Cesarean

Objectives: To determine the frequency of successful Vaginal Birth after One Cesarean Section in our tertiary care institution and to determine the causes of its failure.Material and Methods: This study was conducted in department of Obstetrics and Gynecology of Shifa International Hospital and Shifa Foundation Community Health Centre Islamabad Pakistan from Feb 2011 to Dec 2014. This study included 592 patients who presented in labor room emergency reception of Obs/Gynae department at term with previous one scar having fulfilled the laid down inclusion criteria for VBAC during ante-natal care. The patients were admitted in hospital and were allowed to proceed for spontaneous labor under vigilant monitoring on complications of trial of scar. Immediate emergency cesarean sections were performed, where indicated.Results: Out of 592 patients 70.7% were delivered vaginally after previous one cesarean section and 29.3% had emergency cesarean section. Leading indications for repeat cesarean section was fetal distress, failure to progress and scar tenderness. No maternal and fetal complication occurred in our study. The success rate of Trial of labor after one previous cesarean delivery was lower in obese (64.38%) as compared to non-obese women (82.06%) (p<0.001). Women with previous successful vaginal delivery had a success rate of 88.2% compared with 62.25% in women without such a history (OR 4.4; 95% CI 2.7-7.2 p <0.001).Conclusion: Vaginal birth after one lower segment cesarean section should be encouraged with vigilant monitoring provided no obstetric contra-indication to vaginal birth exists.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.546-550

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