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Obstet Gynecol. 1988 Aug;72(2):163-5.

Is vaginal birth after two or more cesarean sections safe?

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  • 1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.


Fifty-five patients with a history of two or more cesarean sections underwent a trial of labor. Forty-two had had previous uterine incisions of unknown type, 11 had had low cervical transverse incisions, and two had had low vertical incisions. Twenty-five women (45%) had successful vaginal deliveries, and 30 (55%) received oxytocin augmentation of labor. The incidence of vaginal delivery was significantly lower in patients who required oxytocin augmentation (30 versus 64%, P less than .01). Three of the 55 patients had scar separation detected at the time of delivery. Two patients underwent hysterectomy. There were no maternal or neonatal deaths. A history of multiple cesarean sections need not exclude the patient from the option of trial of labor.

[PubMed - indexed for MEDLINE]
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