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Bibliographical entry (without author) : | Effect of prior vaginal delivery or prior VBAC on OB outcomes in women undergoing trial of labor.. OG, 104, p.273 |
Author(s) : | Hendler |
Year of publication : | 2004 |
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Abstract (English) : | Observational, Pts. with only a PCS were compared to those with a PCS and either a previous vaginal birth or successful VBAC. 1,685 had PCS and no vaginal delivery, 198 had a vaginal delivery before the PCS and 321 had a VBAC. The rate of successful trial of labor was 70.1%, 81.8% and 93.1% respectively. Uterine rupture rate was 1.5%, 0.5% and 0.3% respectively. Patients with a prior VBAC had, in addition, a higher rate of uterine scar dehiscence (21.8%) compared with patients with a PCS (5.3%).<br>Conclusion: a prior vagina delivery and particularly, a prior VBAC are associated with a higher rate of successful trial of labor compared with patients with no prior vaginal delivery. In addition, prior VBAC is associated with an increased rate of uterine scar dehiscence. Level of evidence II-2 |
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Comments : | Fiche importée de http://www.worldserver.com/turk/birthing/rrvbac2000-4.html avec l’aide de Ken Turkowski, septembre 2005 |
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Author of this record : | Ken Turkowski — 01 Feb 2006 |
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