Clinical analysis of pregnant women with prior cesarean section. retrospective analysis of 268 cases during the past 10 years.

概要

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We investigated the outcome of labor in pregnant women who had previously undergone cesarean section during the past 10 years at our hospital, and compared them to those in the control group. The rates of trial of Iabor (TOL) and vaginal birth after cesarean section (VBAC) were similar to those at other institutions (Kobayashi, 1994). In TOL cases, the success rate of VBAC was high, 81.7%. There were no significant differences in age or week of gestation between the VBAC group and the emergent cesarean section group. In patients who demonstrated cephalopelvic disproportion (CPD) during a previous labor, both the rate of TOL and the success rate of VBAC were low, suggesting that the success or failure of VBAC is closely associated with previous indications for cesarean section. Furthermore, there were no differences in volume of hemorrhage in labor between the VBAC group and the group experiencing vaginal birth on primiparity, or between the emergent cesarean section group and the selective cesarean section group. Therefore, the safety of TOL at our hospital was demonstrated. [Adv Obstet Gynecol 48 (5)543-54594, 9, 1996 (H8.9)]
近畿産科婦人科学会の論文