study of trial of labor and the use of oxytocin in patients with previous caesarean section

ABSTRACT

Trial of labor with the use of oxytocin in patients with previous lower segment caesarean section has received clinical attention in recent years Recent studies failed to show any increased risk of uterine rupture with its attended maternal and/or perinatal sequelae in such patients. In this study, 60 patients with previous lower segment caesarean section were given a trial of labor, 30 of them received oxytocin augmentation. Successful and safe vaginal delivery was achieved in 73.3% of all the study patients [76.7% for the non oxytocin and 70% for the oxytocin group]. The duration of labor was significantly shorter in the oxytocin than in the non- oxytocin group. There was no difference in perinatal outcome and maternal complications in both groups. It is concluded, therefore, that trial of labor with oxytocin use in property selected patients with previous lower segment caesarean section is a safe procedure and strongly recommended in a well equipped hospital. In the presence of continous monitoring and experienced staff