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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 08 Oct 2003
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Trial of labour after two or three previous caesarean sections. European Journal of Obstetrics & Gynecology and Reproductive Biology 2003;110:16-19.

Author(s) :

Spaans WA, van der Vliet LME, Röell-Schorer EAM, Bleker OP, van Roosmalen J.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To investigate the safety of a trial of labour (TOL) after two or three previous caesarean sections.
STUDY DESIGN: Retrospective analysis of medical records of women with a history of more than one previous caesarean section who gave birth during a 10-year period (1988–1997) in two large university hospitals in The Netherlands.

RESULTS: Women numbering 30,132 gave birth with a hospital caesarean birth rate of 14.8%. There were 246 women with a history of more than one previous caesarean section: 187 (76%) delivered by elective repeat caesarean section (ERCS); 59 (24%) had a trial of labour, of whom 49 (83%) had a vaginal birth. Three uterine ruptures occurred after previous lower segment caesarean sections without maternal or perinatal mortality related to the uterine rupture; only one rupture was during a trial of labour. In the study group there was no maternal mortality. Maternal morbidity did not differ between women with an elective repeat caesarean or a failed trial of labour. Perinatal mortality was not related to the mode of delivery.

CONCLUSION: Elective repeat caesarean section is not the only answer to a woman with two or three previous caesarean sections. A trial of labour can be a safe option for a selected group of women.

Sumário (português)  :

Comments :

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Argument (français) :

Argument (English):

Argumento (português):

Keywords :

➡ c-section/caesarean ; morbidity

Author of this record :

Cécile Loup — 08 Oct 2003

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