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- Title
Vaginal delivery after one cesarean section.
- Authors
van der Walt, W A; Cronjé, H S; Bam, R H
- Abstract
<bold>Objective: </bold>To determine the success rate and safety of vaginal delivery after a previous cesarean section in a South African teaching hospital serving a developing community.<bold>Method: </bold>One hundred eighty-nine women with a history of one previous cesarean section were studied during a 10.5-month period. Maternal morbidity was studied in 92 of these patients who had infants weighing 2500 g or more. During the study period 5044 women delivered at the hospital.<bold>Results: </bold>In the study group of 189 women, 85 (44.9%) delivered vaginally, 65 (34.4%) by cesarean section during labor and 39 (20.6%) had elective cesarean sections. One maternal and two perinatal deaths occurred. In the subgroup of 92 women with babies weighing 2500 g or more at birth, 10 women (10.9%) experienced morbidity related to trial of scar.<bold>Conclusion: </bold>Vaginal birth was accomplished less often in this population compared with reports from developed countries, but the procedure was equally safe.
- Subjects
SOUTH Africa; BIRTH weight; COMPARATIVE studies; DEVELOPING countries; DISEASES; INFANT mortality; LABOR (Obstetrics); RESEARCH methodology; MEDICAL cooperation; MATERNAL mortality; PUBLIC health surveillance; RESEARCH; VAGINAL birth after cesarean; EVALUATION research
- Publication
International Journal of Gynecology & Obstetrics, 1994, Vol 46, Issue 3, p271
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/0020-7292(94)90405-7