Trial of labor after a one- or two-layer closure of a low transverse uterine incision

Article Abstract:

The occurrence of scar separation during labor and delivery may be rare among women who have previously undergone a low transverse cesarean section regardless of the method used to close the uterine incision. A low transverse uterine incision can be closed in one layer or two layers. Among 262 women who underwent labor and delivery after a previous low transverse cesarean section, 149 had had a one-layer closure of a uterine incision and 143 had had a two-layer closure. Asymptomatic scar separation occurred in eight women. Three had had a one-layer closure and five had had a two-layer closure. Symptomatic scar separation did not occur in any of the women. No fetal deaths occurred, and all of the newborns were healthy. More than half of the women delivered vaginally, and the others had another cesarean section.

Management, Surgery, Uterus, Vaginal birth after cesarean

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Indicated versus spontaneous preterm delivery: an evaluation of neonatal morbidity among infants weighing 1,000 or less grams at birth

Article Abstract:

An indicated premature delivery does not lead to better health outcomes among very-low-birth-weight babies compared to a spontaneous premature delivery. This was the conclusion of a study of 411 premature babies whose mothers had an indicated delivery, a spontaneous delivery or a premature rupture of membranes.

Health aspects, Birth weight, Low, Low birth weight, Premature birth

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