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Delivery through the maternal bladder during trial of labor
1Colorado Permanente Medical Group, Saint Joseph Hospital, Denver.
Obstetrics and Gynecology
|September 1, 1992
Abstract
Background:
The safety of trial of labor after cesarean has been documented by numerous studies. Large series have demonstrated that in a properly chosen setting, 75% of women can achieve vaginal delivery without undue risk to the mother or fetus. In a small percentage of cases, trial of labor deviates from the expected outcome.
Cases:
Two infants were delivered through the maternal bladder, one after uterine dehiscence and the other after vaginal rupture at trial of labor.
Conclusion:
Standard and unique complications are reported with trial of labor. Because these complications occur infrequently, they should not discourage an attempt at vaginal delivery after cesarean.