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J Perinat Med. 2013 Mar;41(2):171-9.

Induction of labor after a prior cesarean delivery: lessons from a population-based study.

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1
School of Medicine, Faculty of Health Sciences, BenGurion University of the Negev, Beer Sheva, Israel.

Abstract

OBJECTIVES:

The aims of this study were (1) to determine the success rate of induction of labor (IOL) in women with a prior cesarean section (CS) and (2) to compare the perinatal outcome of a trial of labor (TOL) in women with one prior CS who had an IOL, spontaneous onset of labor, or an elective repeated CS (ERCS).

MATERIAL AND METHODS:

This study population was divided into three groups: women who had (1) ERCS (n = 1916), (2) spontaneous TOL (n = 4263), and (3) IOL (n = 1576).

RESULTS:

(1) The rate of IOL in the study cohort was 20.3%; of these, 67.4% had a successful vaginal birth after cesarean (VBAC). (2) Patients in the spontaneous TOL group had a higher VBAC rate than did those who had IOL (P < 0.001). (3) The rate of uterine rupture was comparable among all study groups. And (4) a prior vaginal birth increased the likelihood of having a successful induction and a VBAC by 50%.

CONCLUSION:

IOL in patients with a previous CS is successful in about two-thirds of the cases. Induction is a safe and useful tool that can serve as an alternative for ERCS and assist to reduce the rate of ERCS.

PMID:
23095188
DOI:
10.1515/jpm-2012-0103
[Indexed for MEDLINE]
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