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Bibliographical entry (without author) :

Induced vaginal birth after previous caesarean section - Australasian Medical Journal - Vol. 9, 11 - p.412-421

Author(s) :

Balashovich, T.A.; Kabibollaevna, B.S.; Nikolaevich, G.A.; Samigollaevna, R.G.; Orazbaevna, S.M.; Kudaybergenovna, K.N.; Idrisovna, B.S.; Mazhitovna, K.B.; Adilbekkyzy, S.Z.; Vasilevna, G.T.

Year of publication :

2016

URL(s) :

https://www.scopus.com/inward/record.uri?eid=2-s2.…
https://doi.org/10.4066/AMJ.2016.2676

Résumé (français)  :

Abstract (English)  :

Introduction: The rate of operative birth by Caesarean section is constantly rising. In Kazakhstan, it reaches 27 per cent. Research data confirm that the percentage of successful vaginal births after previous Caesarean section is 50-70 per cent. How safe the induction of vaginal birth after Caesarean (VBAC) remains unclear. Methodology: The studied techniques of labour induction were amniotomy of the foetal bladder with the vulsellum ramus, intravaginal administration of E1 prostaglandin (Misoprostol), and intravenous infusion of Oxytocin-Richter. The assessment of rediness of parturient canals was conducted by Bishop’s score; the labour course was assessed by a partogram. The effectiveness of labour induction techniques was assessed by the number of administered doses, the time of onset of regular labour, the course of labour and the postpartum period and the presence of complications, and the course of the early neonatal period, which implied the assessment of the child’s condition, described in the newborn development record. The foetus was assessed by medical ultrasound and antenatal and intranatal cardiotocography (CTG). Obtained results were analysed with SAS statistical processing software. Results: The overall percentage of successful births with intravaginal administration of Misoprostol was 93 per cent (83) of cases. This percentage was higher than in the amniotomy group (relative risk (RR) 11.7) and was similar to the oxytocin group (RR 0.83). Amniotomy was effective in 54 per cent (39) of cases, when it induced regular labour. Intravenous oxytocin infusion was effective in 94 per cent (89) of cases. This percentage was higher than that with amniotomy (RR 12.5). Conclusions: The success of vaginal delivery after previous Caesarean section can be achieved in almost 70 per cent of cases. At that, labour induction does not decrease this indicator and remains within population boundaries. © 2016, Australasian Medical Journal Pty Ltd. All rights reserved.

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Keywords :

➡ induction of labor ; misoprostol (Cytotec)

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Import 26/11/2017 — 26 Nov 2017