OBJECTIVE The purpose of this study was to determine the outcome of pregnancy in women with previous one cesarean section in relation to vaginal delivery and maternal and perinatal complications. It also aimed at identifying the factors, which can influence the outcome of trial of scar (TOS). MATERIALS AND METHODS A retrospective analysis of medical records of 151 women with previous one cesa...

Objective: To report a successful vaginal delivery using slow infusion of epidural analgesia in a patient with both severe aortic stenosis and insufficiency. Clinical Presentation and Intervention: A 26-year-old primigravid patient presented to our hospital for delivery. She had aortic stenosis and insufficiency due to rheumatic fever. Although the obstetrician recommended cesarean section owin...

CONTEXT Aversion for cesarean delivery is common in our practice and risks associated with caesarean section may contribute to this phenomenon. OBJECTIVE The objective of this study was to estimate the risks associated with subsequent pregnancies in women with one previous cesarean section in a low resource setting. SETTING AND DESIGN A prospective cohort study carried out at two major tert...

BACKGROUND External cephalic version (ECV) is infrequently performed and 98% of breech presenting fetuses are delivered surgically. Neuraxial analgesia can increase the success rate of ECV significantly, potentially reducing cesarean delivery rates for breech presentation. The current study aims to determine whether the additional cost to the hospital of spinal anesthesia for ECV is offset by c...

Objective: To report a successful vaginal delivery using slow infusion of epidural analgesia in a patient with both severe aortic stenosis and insufficiency. Clinical Presentation and Intervention: A 26-year-old primigravid patient presented to our hospital for delivery. She had aortic stenosis and insufficiency due to rheumatic fever. Although the obstetrician recommended cesarean section owin...

OBJECTIVE To review the outcome of induction of labor with vaginal prostaglandin-E2 in grand multiparous women with one previous cesarean section. METHODS Twenty-six grand multiparous women with one previous cesarean section were induced with vaginal prostaglandin-E2. RESULTS Twenty (76.9%) women delivered vaginally and six (23.1%) women delivered by emergency cesarean section. The mean dur...

only marginally increased among women undergoing a trial of labor2 than among those undergrant an elective repeat cesarean section (0.4% vs 0.2% OR=2.1), with a significant decrease in need for transfusion (OR=0.57) or hysterectomy (OR=0.39), has led authorities to encourage vaginal birth after cesarean3. A group of investigators concluded4 that among women with a previously scarred uterus, ind...

OBJECTIVE Long-term intellectual performance in breech-presented infants may be negatively affected by vaginal delivery. We evaluated the effect of presentation at birth and delivery mode on intellectual performance at age 18 years in a nationwide population study. METHODS We studied 8,738 male infants in breech and 384,832 males in cephalic presentation registered in the Medical Birth Regist...