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Updated: May 29, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Efforts to promote vaginal delivery after a previous cesarean section
1Department of Obstetrics and Gynecology, Tokyo Metropolitan Police Hospital, Tokyo, Japan. hamai@keisatsubyoin.or.jp
Aim:
The aim of this study was to examine the results of vaginal delivery in patients with a past history of cesarean section.
Methods:
The type of delivery, interventions during delivery, and the prognoses of the mothers and babies were examined in 145 women with a history of cesarean section over the 10-year period from January 2000 to December 2009.
Results:
A scheduled cesarean section was performed in 27 cases. Vaginal delivery was recommended in 118 cases and the success rate was 94.9% (112/118). Uterine rupture was observed in one patient who experienced a natural rupture at home and whose previous cesarean section was an inverse T incision. No cases required a blood transfusion or hysterectomy.
Conclusions:
The prognoses of both mothers and babies were good and the vaginal delivery success rate was 94.9%. Uterine rupture was observed in one case. Vaginal delivery with previous cesarean section should be considered in cases with expectation and informed consent.
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