Trial of labour after caesarean section

ABSTRACT

Fifty six women, aged 20 to 34 years, who had previous cesarean births, were given a trial of labour. The labour was induced in 14.3% women while 65.7% women proceeded to spontaneous labour. The rate of vaginal delivery was 67.9%. Delivery was achieved through cesarean section in 75% of inductions and 25% of spontaneous labours. The overall cesarean rate was 32.1%. The most common indications for repeat caesarean was failure to progress [44.4%], foetal distress [27.7%] and failed induction [16.7%]. There was no maternal or foetal mortality and the trial of labour was associated with minimal maternal or foetal morbidity. The number of vaginal births prior to first caesarean section did not seem to influence the outcome. The success rate in the present study [67.9%] compares favourably with reports from other countries