Chattopadhyay K, Sengupta BS, Edress YB, Lambourne A. Vaginal birth after cesarean section: management debate.
Int J Gynaecol Obstet 1988;
26:189-96. [PMID:
2898393 DOI:
10.1016/0020-7292(88)90261-5]
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Abstract
Obstetric performance of 1847 women with previous cesarean section (CS) during the years 1983 and 1984 were studied. Vaginal birth after cesarean section (VBAC) was attempted in 94% of females with one previous CS, 4% in those with two previous CS, and one among the 70 patients with three or more previous CS. VBAC was achieved in 51% of those with one previous CS. It was successful in 60% of parturients with CS for non-recurrent causes, 36% of CS for cephalopelvic disproportion (CPD) and in 64% of those with a prior vaginal delivery. Uterine scar dehiscence was found in 0.9% of all patients with a previous CS. A failed attempt with Ventouse to achieve VBAC caused maximum maternal and perinatal morbidity.
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