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The management of labor in women with more than one uterine scar: Is a repeat cesarean section really the only “Safe” option?

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

A prospective trial to investigate feasibility of vaginal delivera after more than one cesarean section, and the safety of vaginal delivery for mother and neonate. Twenty-six pregnant women with a history of two or more cesarean sections were admitted to the delivery room and accepted trial of labor under internal fetal and uterine monitoring. Epidural anesthesia and oxytocin were applied when needed. A similar group of patients (controls) preferred repeated cesarean section. Nineteen women (73%) were successfully delivered by the vaginal route. There were no cases of uterine rupture or perinatal loss. The maternal complication rate was lower than that of the control group. Trial of labor in selected cases of two or more lowsegment cesarean sections may be considered safe for mother and fetus.

Original languageEnglish
Pages (from-to)13-17
Number of pages5
JournalJournal of Perinatal Medicine
Volume22
Issue number1
DOIs
StatePublished - 1994
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Analgesie epidurale
  • Cesarean section
  • Mehrfache Sectio caesarea
  • Oxytocin
  • Sectio caesarea
  • Uterusruptur
  • Versuch der vaginalen Entbindung
  • cesarienne
  • epidural
  • epreuve du travail
  • maternal morbidity
  • morbidite maternelle
  • morbidite neo-natale
  • multiple cesarean section
  • mütterliche mütterliche Morbidität
  • neonatal morbidity
  • neonatale Morbidität
  • ocytocine
  • operation
  • operation cesarienne multiple
  • oxytocin
  • rupture uterine
  • trial of labour
  • uterine rupture

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