MATERNAL MORBIDITY AS RELATED TO TRIAL OF LABOR AFTER PREVIOUS CESAREAN DELIVERY - A QUANTITATIVE-ANALYSIS

  • 1 January 1984
    • journal article
    • research article
    • Vol. 29  (1) , 12-16
Abstract
In patients with previous cesarean births, a trial of labor (TOL) appears to be a reasonable alternative to the standard practice of performing a routine repeat cesarean section (C/S). A major benefit of a TOL in these patients is a potential reduction in maternal morbidity. [In terms of intrapartum complications the primary outcome measures for vaginal deliveries were hemorrhage and uterine atony. Factors evaluated in patients undergoing C/S were bowel injuries, extension of the uterine scar, uterine atony and hemorrhage.] Patients (873) with a history of previous C/S who delivered in 1980 were retrospectively evaluated. A TOL in patients with a prior C/S was safe and was associated with significantly less maternal morbidity than in patients who did not undergo a TOL. A TOL may be beneficial from the financial and social points of view.

This publication has 1 reference indexed in Scilit: