Induction of labor in patients with a previous cesarean birth / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
; : 290-295, 2001.
Article
en Ko
| WPRIM
| ID: wpr-213819
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: To determine the efficacy and safety of labor induction in patients previously delivered by a low transverse cesarean section. METHOD: A retrospective review was done at Chonnam National University Hospital, Kwangju, Korea. All patients with a previous cesarean section who required labor induction from April, 1986 to June, 1999 were identified. Outcome of labor induction, including mode of delivery, maternal and perinatal morbidity, and birth trauma were evaluated. RESULTS: Trial of labor was undertaken by 1256 women(55.8%) who had previously been delivered by a low transverse cesarean section. 973 patients(77.5%) with a previous cesarean birth had a spontaneous onset of labor. Labor was induced in 283 patients(22.5%) with a previous cesarean birth. Successful vaginal delivery rate were 82.9%(807/973) in spontaneous labor and 79.2%(224/283) in induced labor group (p= NS). There were no differences in uterine dehiscence and rupture rate, perinatal and maternal mortality rate, and the rate of infants with low 1 or 5-minute Apgar scores between patients attempting a trial of labor after cesarean, spontaneous and induced. CONCLUSION: we conclude that labor induction in patients with a previous low transverse cesarean section is a safe procedure requiring close peripartum maternal and fetal surveillance.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Rotura
/
Esfuerzo de Parto
/
Cesárea
/
Mortalidad Materna
/
Estudios Retrospectivos
/
Parto
/
Periodo Periparto
/
Corea (Geográfico)
/
Trabajo de Parto Inducido
Tipo de estudio:
Observational_studies
Límite:
Female
/
Humans
/
Infant
/
Pregnancy
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Obstetrics and Gynecology
Año:
2001
Tipo del documento:
Article