TY - JOUR
T1 - Trial of labour after two or three previous caesarean sections
AU - Spaans, Wilbert A.
AU - van der Vliet, Laura M. E.
AU - Röell-Schorer, Elisabeth A. M.
AU - Bleker, Otto P.
AU - van Roosmalen, Jos
PY - 2003
Y1 - 2003
N2 - Objective: To investigate the safety of a trial of labour (TOL) after two or three previous caesarean sections. Study design: Retrospective analysis of medical records of women with a history of more than one previous caesarean section who gave birth during a 10-year period (1988-1997) in two large university hospitals in The Netherlands. Results: Women numbering 30,132 gave birth with a hospital caesarean birth rate of 14.8%. There were 246 women with a history of more than one previous caesarean section: 187 (76%) delivered by elective repeat caesarean section (ERCS); 59 (24%) had a trial of labour, of whom 49 (83%) had a vaginal birth. Three uterine ruptures occurred after previous lower segment caesarean sections without maternal or perinatal mortality related to the uterine rupture; only one rupture was during a trial of labour. In the study group there was no maternal mortality. Maternal morbidity did not differ between women with an elective repeat caesarean or a failed trial of labour. Perinatal mortality was not related to the mode of delivery. Conclusion: Elective repeat caesarean section is not the only answer to a woman with two or three previous caesarean sections. A trial of labour can be a safe option for a selected group of women. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved
AB - Objective: To investigate the safety of a trial of labour (TOL) after two or three previous caesarean sections. Study design: Retrospective analysis of medical records of women with a history of more than one previous caesarean section who gave birth during a 10-year period (1988-1997) in two large university hospitals in The Netherlands. Results: Women numbering 30,132 gave birth with a hospital caesarean birth rate of 14.8%. There were 246 women with a history of more than one previous caesarean section: 187 (76%) delivered by elective repeat caesarean section (ERCS); 59 (24%) had a trial of labour, of whom 49 (83%) had a vaginal birth. Three uterine ruptures occurred after previous lower segment caesarean sections without maternal or perinatal mortality related to the uterine rupture; only one rupture was during a trial of labour. In the study group there was no maternal mortality. Maternal morbidity did not differ between women with an elective repeat caesarean or a failed trial of labour. Perinatal mortality was not related to the mode of delivery. Conclusion: Elective repeat caesarean section is not the only answer to a woman with two or three previous caesarean sections. A trial of labour can be a safe option for a selected group of women. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved
U2 - https://doi.org/10.1016/S0301-2115(03)00082-4
DO - https://doi.org/10.1016/S0301-2115(03)00082-4
M3 - Article*
C2 - 12932864
VL - 110
SP - 16
EP - 19
JO - European journal of obstetrics, gynecology, and reproductive biology
JF - European journal of obstetrics, gynecology, and reproductive biology
SN - 0301-2115
IS - 1
ER -