1089: Induction-of-labor at second delivery after a previous cesarean: Is stage-of-labor at previous cesarean a factor?

Induction of labor in women with previous single cesarean section

Results Overall, 1, 898 pregnancies were eligible, of them, 259 underwent induction of labor, and 1, 639 were admitted with spontaneous onset of labor. Demographic data, parity, gestational age at delivery and birthweight were similar. The overall rate of cesarean delivery was significantly higher in the study group (16. 2% vs. 10. 7%, p=0. 01), mainly due to labor dystocia (8. 1% vs. 3. 7%, p<...

Misoprostol for Second and Third-Trimester Labor Induction In Women with Previous Cesarean Delivery

Objective: To evaluate the use of misoprostol in second and third trimester labor induction in women with previous cesarean delivery. Methods: Women with previous cesarean delivery and normal controls seen for second and third trimester labor induction were randomly assigned to receive either misoprostol vaginally 50 μg or 100 μg every 6 hours until active phase of labor achieved. Primary outco...

Trial of Labor after Cesarean (TOLAC) for Vaginal Birth after Previous Cesarean Section (VBAC) Versus Repeat Cesarean Section; A Review

Despite cesarean being a major abdominal surgery, the number of cesarean deliveries has been increasing in recent decades in the United States [1-3]. The World Health Organization has stated that national cesarean rates greater than 10-15% indicate unnecessary maternal risk. Nevertheless the current cesarean rate in the US is 32.2% (CDC). With this high rate of cesarean delivery the question of...

Labor trials in 300 patients with a previous cesarean section

The Effect of Previous Successful Vaginal Birth After Cesarean Delivery on Subsequent Trial of Labor

Results: The study population comprised of four hundred-sixteen women with attempted VBAC. They were divided into two groups: 149 (35.82%) had no previous attempted VBAC and the last delivery was cesarean section (group 1), compared to 267 (64.2%) with previous ≥ 1 successful VBAC (group 2). The VBAC success rates were 86 % versus 95.5 % in groups 1 and 2 respectively (P=.001). Twenty-one (14.1...