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Am J Obstet Gynecol. 1996 Jul;175(1):194-8.

Vaginal birth after cesarean section in twin gestation.

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  • 1Department of Obstetrics and Gynecology, Los Angeles County/University of Southern California Women's and Children's Hospital 90033, USA.

Abstract

OBJECTIVE:

We report a 10-year experience with vaginal birth after cesarean section in women with twins.

STUDY DESIGN:

Data were gathered from labor and delivery records and maternal and neonatal hospital charts. Women with a vertical uterine scar, a previous uterine rupture, an unrepaired dehiscence, or obstetric contraindications to labor were excluded from a trial of labor. Full-thickness uterine defects requiring intervention were classified as ruptures; all others were classified as dehiscences.

RESULTS:

Between Jan. 1, 1985, and Dec. 31, 1994, at Los Angeles County/University of Southern California Women's Hospital, 210 women with previous cesarean births were delivered of twins. One hundred eighteen (56%) underwent repeat cesarean delivery without a trial of labor. Ninety-two (44%) undertook a trial of labor with no uterine ruptures and no increase in maternal or perinatal morbidity or mortality.

CONCLUSIONS:

In women with twins a trial of labor after a previous cesarean section is a safe and effective alternative to routine repeat cesarean delivery.

PMID:
8694051
[PubMed - indexed for MEDLINE]
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