Delayed delivery in a triplet pregnancy

Multiple gestations have a significantly increased incidence of preterm labor and preterm Rupture of membranes. In this case, a 32-year-old woman had a car accident with preterm labor at 19 weeks gestation, a vaginal delivery of the presenting triplet followed. After conservative management, the second and third triplets were delivered by cesarean section after a 70-day delay. A review of the literature was done

Accouchement par voie basse sur uterus cicarticiel a L'Hotel de France Beyrouth

Vaginal deliveries on a scarred uterus are actually admitted and done in many obstetrics-gynecology centers throughout the world. A uterine scar does not represent a formal indication for a repeat cesarean section anymore. In this article, the results of a retospective study between January 1980 and december 1989 are reported. We reviewed all the files of women having a scarred uterus, delivering at "Hotel-Dieu de France", vaginally or by repeat cesarean section. This study concerns 560 women 500 delivering by repeat cesarean section and 60 having a trial of labor, 45 of which delivering vaginally. A lot of parameters are compared, such as days of hospitalization, antibiotic coverage, and materno-foetal complications. No uterine rupture was reported. The hospital stay was reduced following vaginal delivery after the trial of labor. A trial of labor on a scarred uterus, taking some precautions, seems tempting, without enhancing feto-maternal morbidity and mortality