山梨医科大学雑誌　第8巻3号　113-119(1993)

Trial of Labor in the Patient with a Prior Cesarean Section

Takehiko YASUMIZU, Akira NOZAWA, Toshihiko KINOSHITA, and Junzo KATO

Abstract: The increasing incidence of cesarean births has become quite controversial. The practice of delivering virtually all women with prior cesarean section by repeat cesarean section is open to debate. To assess the risks and benefits of trial of vaginal birth in patients with prior cesarean section, a retrospective review of the patients delivered at the Yamanashi Medical University Hospital was performed. There were 255 patients, 158 (62%) of whom underwent trial of labor and 134 (84.8%) achieved vaginal delivery. There is no maternal mortality or parinatal mortality attributed the trial oflabor process. The incidence of uterine rupture and scar dehiscene was similar in the trial of labor group and elective repeat cesarean group. We conclude that an active program for trial of labor, with certain exclusion criteria and within the means of our facility, seems to pose no additional risk.

Key words: Prior cesarean section, Trial of labor, Maternal and neonatal outcome




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