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Federación Mexicana de Ginecología y Obstetricia, A.C.

2015, Number 02

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Ginecol Obstet Mex 2015; 83 (02)

Vaginal birth after cesarean. A safe option?

García-Benítez CQ, López-Rioja MJ, Monzalbo-Núñez DE

Language: Spanish
References: 39
Page: 69-87
PDF size: 599.33 Kb.


ABSTRACT

Objective: To compare the beginning and evolution of labor variables such as demographic characteristics, obstetric and perinatal outcomes of patients with vaginal birth after cesarean (VBAC).
Material and methods: Observational, retrospective and retro elective trial purposes of comparative analysis, were divided into groups by the onset of labor; spontaneously versus induction and by the labor evolution; spontaneously versus conduction. Being analyzing by Student’s T and Fisher test.
Results: According the ACOG criteria. 136 patients with prior cesarean section were eligible to labor. The indications of previous cesarean have a trend of a non-recurring etiology, being the elective cesarean section the most common. Regarding the onset, 78% was spontaneous and 22% had an induction. Comparing the demographic characteristics it stands a greater number of deliveries, history of vaginal delivery, a higher Bishop score, fetal weight estimated lower and higher intergenesic period. As a perinatal prognosis, the study has shown be safe with a positive outcome.
Conclusions: Vaginal birth after cesarean is safe, that should be offered to all women with a low transverse incision, with an intergenesic period greater than 18 months, whit a singleton pregnancy, in a cephalic presentation, with an appropriate fetal weight, and without obstetric contraindications of vaginal delivery.


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