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J Obstet Gynaecol Res. 1996 Oct;22(5):431-6.

Outcome of unplanned vaginal deliveries after two previous caesarean sections.

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  • 1Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.


Once a caesarean section always a caesarean section may not stand true any more but twice a caesarean section always a caesarean section still stays put because of its high maternal and foetal complications. Jinnah Postgraduate Medical Centre is large tertiary care hospital and has a caesarean section rate of over 18%, 10 patients (3.9%) were picked up in a retrospective study who had vaginal delivery after 2 previous caesarean sections in 2 years. They were admitted late in labour. Only one patient had dehiscence of scar. The aim of the study was to evaluate the outcome and safety of vaginal deliveries after 2 previous caesarean sections even when the trial was not conducted at the hospital.

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