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1995•Journal of Obstetrics and GynaecologyRequires access

Vaginal Birth after One Previous Caesarean Section: A Jordanian Experience

Adel Abu‐Heija

Open publisher page 7 citations

Abstract

In this prospective study, 119 women out of 135 (88%) of cases delivered previously by one lower segment caesarean section at Princess Basma Teaching Hospital in North Jordan, had a trial of labour, 103 out of 119 women (86.6%) delivered vaginally. A high incidence of vaginal delivery occurred in women originally delivered by caesarean section for cephalopelvic disproportion (CPD) (69%). Repeat caesarean section was necessary only in 13.4% of women mainly because of CPD and foetal distress. Labour was induced for obstetric reason only. The incidence of scar rupture was very low 1 of 119 cases (0.8%), with no maternal deaths. The duration of labour doesn't differ significantly for those who had from those who never had vaginal delivery before. So it is relatively safe to have a trial of labour in patients delivered previously by one caesarean section.

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What this paper is about

In this prospective study, 119 women out of 135 (88%) of cases delivered previously by one lower segment caesarean section at Princess Basma Teaching Hospital in North Jordan, had a trial of labour, 103 out of 119 women (86.6%) delivered vaginally. A high incidence of vaginal delivery occurred in women originally delivered by caesarean section for cephalopelvic disproportion (CPD) (69%). Repeat caesarean section was necessary only in 13.4% of women mainly because of CPD and foetal distress. Labour was induced for obstetric reason only. The incidence of scar rupture was very low 1 of 119 cases (0.8%), with no maternal deaths. The duration of labour doesn't differ significantly for those who had from those who never had vaginal delivery before. So it is relatively safe to have a trial of labour in patients delivered previously by one caesarean section.

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Available abstract

In this prospective study, 119 women out of 135 (88%) of cases delivered previously by one lower segment caesarean section at Princess Basma Teaching Hospital in North Jordan, had a trial of labour, 103 out of 119 women (86.6%) delivered vaginally. A high incidence of vaginal delivery occurred in women originally delivered by caesarean section for cephalopelvic disproportion (CPD) (69%). Repeat caesarean section was necessary only in 13.4% of women mainly because of CPD and foetal distress. Labour was induced for obstetric reason only. The incidence of scar rupture was very low 1 of 119 cases (0.8%), with no maternal deaths. The duration of labour doesn't differ significantly for those who had from those who never had vaginal delivery before. So it is relatively safe to have a trial of labour in patients delivered previously by one caesarean section.

Key concepts: Cephalopelvic disproportion, Caesarean section, Medicine, Vaginal delivery, Obstetrics, Vaginal birth, Incidence (geometry), Fetal distress

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