Induction of labor in patients with a previous cesarean birth / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
; : 290-295, 2001.
Article
in Ko
| WPRIM
| ID: wpr-213819
Responsible library:
WPRO
ABSTRACT
OBJECTIVE: To determine the efficacy and safety of labor induction in patients previously delivered by a low transverse cesarean section. METHOD: A retrospective review was done at Chonnam National University Hospital, Kwangju, Korea. All patients with a previous cesarean section who required labor induction from April, 1986 to June, 1999 were identified. Outcome of labor induction, including mode of delivery, maternal and perinatal morbidity, and birth trauma were evaluated. RESULTS: Trial of labor was undertaken by 1256 women(55.8%) who had previously been delivered by a low transverse cesarean section. 973 patients(77.5%) with a previous cesarean birth had a spontaneous onset of labor. Labor was induced in 283 patients(22.5%) with a previous cesarean birth. Successful vaginal delivery rate were 82.9%(807/973) in spontaneous labor and 79.2%(224/283) in induced labor group (p= NS). There were no differences in uterine dehiscence and rupture rate, perinatal and maternal mortality rate, and the rate of infants with low 1 or 5-minute Apgar scores between patients attempting a trial of labor after cesarean, spontaneous and induced. CONCLUSION: we conclude that labor induction in patients with a previous low transverse cesarean section is a safe procedure requiring close peripartum maternal and fetal surveillance.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Rupture
/
Trial of Labor
/
Cesarean Section
/
Maternal Mortality
/
Retrospective Studies
/
Parturition
/
Peripartum Period
/
Korea
/
Labor, Induced
Type of study:
Observational_studies
Limits:
Female
/
Humans
/
Infant
/
Pregnancy
Country/Region as subject:
Asia
Language:
Ko
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2001
Type:
Article