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Delivery after fetal death in women with earlier cesarean section. A review

Jouko Pirhonen1, Risto Erkkola2

  • 1The Norwegian Continence and Pelvic Floor Center, University Hospital of North Norway, Tromsø, Norway.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|March 27, 2021
PubMed

The clinical management of intrauterine fetal demise (IUFD) in women with a previous cesarean delivery presents a dilemma for the obstetrician. With the current reluctance of obstetricians to perform vaginal birth after cesarean (VBAC) and the paucity of data to counsel women regarding maternal risks, management options are limited by physician's clinical experience and biases. In the setting of fetal demise, maternal safety becomes the primary concern. Medicolegal pressures may prevent physicians from attempting a trial of labor in this situation. In this review we will a focus on frequency of birth with IUFD after cesarean section (CS), we discuss the options (VBAC vs CS), different complications, methods for induction of vaginal birth as well as risk factors of vaginal birth and cesarean delivery.

Keywords:
Cesarean deliveryDelivery methodIntrauterine fetal demiseVaginal delivery

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