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Aust N Z J Obstet Gynaecol · Nov 1996
Induction of labour for trial of vaginal birth after caesarean section in a remote district hospital.
- S Kumar and P Maouris.
- Port Hedland Regional Hospital, Western Australia.
- Aust N Z J Obstet Gynaecol. 1996 Nov 1; 36 (4): 417-20.
AbstractIn a retrospective review of 79 women with 1 or more previous Caesarean section, 33 (41.8%) women agreed to a trial of vaginal birth. Twenty nine women had labour induced and 26 (89.7%) of them had a successful vaginal delivery. Four women laboured spontaneously and 1 of them needed an emergency Caesarean section for failure to progress. The overall vaginal delivery rate for women selected to undergo a trial of vaginal birth after Caesarean was 87.9%. The overall emergency Caesarean section rate was 4 of 33 (12.1%). During the study period the Caesarean section rate for the hospital fell from 32.2% to 11%. This study suggests that induction of labour in women with a previous Caesarean section is very successful in achieving vaginal delivery and has a role to play in remote and rural hospitals.
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