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[Vaginal birth after one previous cesarean section]

https://arctichealth.org/en/permalink/ahliterature92086
Source
Laeknabladid. 2008 Sep;94(9):591-7
Publication Type
Article
Date
Sep-2008
Author
Birgisdottir Brynhildur Tinna
Hardardottir Hildur
Bjarnadottir Ragnhildur I
Thorkelsson Thordur
Source
Laeknabladid. 2008 Sep;94(9):591-7
Date
Sep-2008
Language
Icelandic
Publication Type
Article
Keywords
Apgar score
Birth weight
Breech Presentation - surgery
Cesarean Section, Repeat
Emergency Treatment
Female
Fetal Death
Humans
Infant, Newborn
Live Birth
Perinatal mortality
Pregnancy
Retrospective Studies
Time Factors
Trial of Labor
Uterine Rupture - etiology - surgery
Vaginal Birth after Cesarean - adverse effects
Abstract
Objective: To evaluate the frequency of different modes of delivery after one previous cesarean section and those factors which may influence mode of delivery. Material and methods: During the study period (1.1.2001-31.12.2005) 925 women with a previous cesarean section and a following singleton pregnancy were identified and included. Information regarding mode of delivery, induction of labor, instrumental delivery, the urgency and indications for first and second cesarean section, birth weight and Apgar scores were collected retrospectively. Results: Trial of labor (TOL) was initiated for 564 women of which 61% were successful while 39% delivered by an emergent cesarean section. In total, 346 women delivered vaginally (37%), 341 women (37%) delivered with an elective cesarean section and 238 (26%) underwent an emergency cesarean section. The VBAC rate increased during the study period, from 35% to 46%. Women who underwent an elective cesarean section due to fetal malpresentation (most often breech) in their first pregnancy were significantly more likely to have a successful VBAC in their second pregnancy (53%) compared with women who had an elective cesarean section for any other indication (21%) (p4000 grams compared with
PubMed ID
18784385 View in PubMed
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