Birth after two cesarean sections: the role of trial of labor
Bretelle, F.; D'Ercole, C.; Cravello, L.; Piéchon, L.; Roger, V.; Boubli, L.; Blanc, B.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 27(4): 421-424
1998
ISSN/ISBN: 0368-2315 PMID: 9690161 Document Number: 491263
To study the management of labor following two cesarean sections, we evaluated maternal and neonatal morbidity subsequent to this attitude. A retrospective study was conducted over a 6-year period (1-1-1990 to 31-12-1995) in 184 women presenting two uterine scars. Trial of labor was allowed in 96 cases with cephalic presentation and a normal pelvis. The rate of vaginal birth was 65%. Three patients presented a uterine scar dehiscence and in one of them hemostasis hysterectomy for uterine atony was performed. Neonatal outcome was good in all cases. Trial of labor after two cesarean sections is possible in the majority of cases. Rate of vaginal birth is high and maternal and fetal morbidity is low.