PREVIOUS CESAREAN BIRTH - TRIAL OF LABOR IN WOMEN WITH MACROSOMIC INFANTS

  • 1 January 1984
    • journal article
    • research article
    • Vol. 29  (1) , 36-40
Abstract
Patients with previous cesarean births who delivered macrosomic infants (.gtoreq. 4000 g) were analyzed to determine the impact of fetal weight on a trial of labor (TOL). Of 140 women with macrosomic infants given a TOL, 94 (67%) delivered vaginally. The most common indication for cesarean delivery was cephalopelvic disproportion (CPD). The dehiscence rates were similar when patients who underwent a TOL were compared with those who did not. Factors associated with a successful TOL were a previous vaginal delivery after the original cesarean section, no oxytocin usage during the TOL and an indication for the previous cesarean section other than CPD. The risk associated with a TOL in a patient with a previous cesarean birth and a macrosomic infant appears to be no greater than that encountered in a similar group of patients without uterine scars.