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[Clinical management of vaginal delivery with previous cesarean section]
1Department of Obsterics and Gynecology, Taiping People's Hospital, Dongguan 523900, China.
Objective:
To explore the feasibility of vaginal delivery with previous cesarean section.
Methods:
Eighty-seven randomly chosen pregnant women who had previously received cesarean section were enrolled in this study, and their consent was obtained to go through vaginal delivery.
Results:
Eighty cases (91.95%) completed vaginal deliveries successfully. Examination of the uterine cavity after labor found partial rupture of the uterine cicatrix in 1 case and immediate surgical repair was performed. Death occurred in none of the cases. Of all the cases of vaginal delivery, the rate of spontaneous labor was 35% and the rate of instrumental vaginal delivery rate was 65%. The Apgar score of 80 neonates one minute after birth was above 8 in 76 and 4 to 7 in 4 cases.
Conclusion:
In pregnant women who have previous cesarean section, vaginal delivery can be possible when there are indications without contraindications.