Korean J Perinatol.  1997 Dec;8(4):392-400.

Vaginal Birth after Cesarean Section

Abstract

Repeat cesarean section is one of the leading causes to make increasing a rate of cesarean section. Trial of labor TOL after cesarean section is attempt to reduce the rate of repeat cesarean section. Trial of labor has been well established as a safe alternative in carefully selected women with transverse scars in the lower uterine segment. This study was based on 104 cases of delivery with prior cesarean birth at the Chonbuk National University Hospital from January, 1991 to June, 1997. The results were as follows: 1) Among 1400 cases with previous cesarean delivery, trial of labor was done in 104 cases (7.4%). Among 104 cases, vaginal birth was successfully completed in 96 cases (92.3%). 2) Among 28 cases with PGE2, vaginal tablet, vaginal delivery was done in 23 cases (82.1%). 3) Among 22 cases with more than 4 of Bishop score, vaginal delivery was done in 21 cases (95.5%), and among 6 cases with less than 3 of Bishop score, vaginal delivery was done only 2 cases (33.3%). 4) There was no matemal death or uterine rupture in the cases of trial of labor, But in 2 cases, uterine dehiscence was observed in 4 cases and postpartal bleeding (more than 400ml) was developed. 5) In the cases of cesarean section, mean of hospital day was 7 days and medical fee was about 400,000 won. In the cases of vaginal birth after cesarean section, mean of hospital day was 2.6 days and medical fee was about 100,000 won. In condusion, vaginal birth after cesarean section is safe and effective alternative to elective repeat cesarean section and also the use of PGE, vaginal tablet is so effective to increase success rate of vaginal delivery. After all, positive these trials might decrease cesarean rate and increase maternal health and quality of medical care.

Keyword

Trial of labor; Prostaglandin E2; Quality of medical care

MeSH Terms

Cesarean Section
Cesarean Section, Repeat
Cicatrix
Dinoprostone
Fees, Medical
Female
Hemorrhage
Humans
Jeollabuk-do
Maternal Health
Parturition
Pregnancy
Prostaglandins E
Trial of Labor
Uterine Rupture
Vaginal Birth after Cesarean*
Vaginal Creams, Foams, and Jellies
Dinoprostone
Prostaglandins E
Vaginal Creams, Foams, and Jellies
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