Mode of delivery for the morbidly obese with prior cesarean delivery: vaginal versus repeat cesarean section

Article Abstract:

Pregnant women who are morbidly obese and have had a previous cesarean section should not attempt a trial of labor or vaginal delivery. In a study of 69 such women, only 13% of those who tried a vaginal delivery were successful and more than half had some type of infectious complication.

Obesity

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Maternal and perinatal complications with uterine rupture in 142,075 patients who attempted vaginal birth after cesarean delivery: a review of the literature

Article Abstract:

The authors have investigated the uterine rapture rate and its complications during vaginal birth after previous cesarean delivery. They discuss the occurrence of maternal and neonatal complications from the uterine rapture, and determine whether these complication rates depend on the number of patients, time of publications or location.

United States, Australia, Research and Development in the Physical, Engineering, and Life Sciences, Science & research, Research and Testing Services, Gynecological R&D, Care and treatment, Research, Analysis, Causes of, Complications and side effects, Pregnant women, Uterine perforation, Obstetrics, Women patients, Gynecological research

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Trial of labor after cesarean delivery with a lower-segment, vertical uterine incision: is it safe?

Article Abstract:

Women who have previously been delivered of babies by cesarean section with a low vertical incision may safely give birth vaginally to a subsequent child. Researchers at one hospital conducted a retrospective analysis of 1137 women who had cesarean deliveries with a low uterine vertical incision. A total of 322 infants from this group of women were delivered at a later time at this hospital, with 174 women going through a trial of labor. Of the 174, 144 (83%) of the women had vaginal births. Two women (1.1%) experienced ruptures of the uterus caused by the previous cesarean incision but neither mothers nor infants were harmed. Researchers have previously determined that women who have had transverse cesarean incisions may go on to deliver infants vaginally.

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