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Induction of labor in women with a prior cesarean delivery
Matthew K Hoffman1, Gwendolyn Hunter Grant1
1Department of Obstetrics & Gynecology, Christiana Care Health System.
Given the historically high rates of cesarean delivery in the United States, obstetrical providers must often consider an induction of labor for women with a history of prior cesarean delivery versus repeat cesarean delivery. Clinical evaluation of this scenario involves weighing the benefits of a successful trial of labor after cesarean delivery against the risks associated with symptomatic uterine rupture. This article will review the uncommon but clinically important circumstance of labor induction following a cesarean delivery, including method of induction as well as induction in the setting of second trimester still birth and fetal anomalies.
Given the historically high rates of cesarean delivery in the United States, obstetrical providers must often consider an induction of labor for women with a history of prior cesarean delivery versus repeat cesarean delivery. Clinical evaluation of this scenario involves weighing the benefits of a successful trial of labor after cesarean delivery against the risks associated with symptomatic uterine rupture. This article will review the uncommon but clinically important circumstance of labor induction following a cesarean delivery, including method of induction as well as induction in the setting of second trimester still birth and fetal anomalies.
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