Emergent cesarean delivery in patients undergoing a trial of labor with a transverse lower-segment scar.

Abstract:

:The American College of Obstetricians and Gynecologists recommends that women with previous low transverse cesarean sections who are candidates for a trial of labor should undergo such a trial only in a special environment. Such recommendations imply that these women are at greater risk than the general population for developing complications necessitating emergent operative intervention. A retrospective review of 5 years' experience reveals that in 1156 term pregnancies in which the patients were given a trial of labor, 18 (1.56%) patients underwent emergent abdominal delivery. This rate and the indications for the emergent operative delivery were not found to be different from those cited for patients without a uterine scar. The incidence of symptomatic uterine rupture was higher in patients scheduled for repeat cesarean section than for patients who underwent a trial of labor. Recommendations for a trial of labor might be reconsidered as they imply an increased risk for maternal and fetal morbidity and mortality that has yet to be demonstrated.

journal_name

Am J Obstet Gynecol

authors

Finley BE,Gibbs CE

doi

10.1016/0002-9378(86)90321-2

subject

Has Abstract

pub_date

1986-11-01 00:00:00

pages

936-9

issue

5

eissn

0002-9378

issn

1097-6868

pii

0002-9378(86)90321-2

journal_volume

155

pub_type

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