EFFECT OF INDICATION FOR PREVIOUS CESAREAN-SECTION ON SUBSEQUENT DELIVERY OUTCOME IN PATIENTS UNDERGOING A TRIAL OF LABOR

  • 1 January 1984
    • journal article
    • research article
    • Vol. 29  (1) , 22-25
Abstract
Patients (308) who had undergone previous cesarean sections (C/S) underwent a trial of labor (TOL). Hospital records of these patients were examined retrospectively in an effort to correlate delivery outcome with the indication for the prior C/S. Patients with a previous C/S for breech had the highest incidence of subsequent vaginal delivery (81 of 94, or 86%), and patients with a previous C/S for cephalopelvic disproportion or failure to progress had the lowest (22 of 64, or 64%). The lower rate of vaginal delivery in the latter group was found only among the subpopulation who had never delivered vaginally. Fetal distress does not appear to be a significant recurring factor in patients given a TOL. Exclusion of patients from a TOL after a previous C/S for cephalopelvic disproportion/failure to progress does not appear to be justified.

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