Outcome of labor following previous cesarean section

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Abstract
Patients (451) who had had previous lower segment cesarean section were studied for subsequent pregnancy outcome at the University Teaching Hospital, Lusaka, Zambia. Of 319 who were allowed to go into labor, 63% succeeded in delivering vaginally, while 37% had to undergo repeat intrapartum cesarean delivery. No maternal death occurred. Scar dehiscence occurred in 1 case only. Parturition in otherwise obstetrically normal patients seems to be safe and the trial of labor approach is desirable, as it results in a lower number of repeat cesarean deliveries.
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