European Clinics in Obstetrics and Gynaecology

, Volume 3, Issue 2, pp 67–80

Current evidence in the management of previous caesarean section: clinical review

Clinical Review

DOI: 10.1007/s11296-007-0065-x

Cite this article as:
Muppala, H., Najia, S.K. & Clarke, F.R. Eur Clinics Obstet Gynaecol (2007) 3: 67. doi:10.1007/s11296-007-0065-x
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Abstract

The safety of women undergoing childbirth with prior caesarean delivery is a major public health concern. Most of the earlier studies focused on the success rate of vaginal birth after caesarean section; later focus shifted to maternal and neonatal safety, and presently, each factor that would influence the outcome of trial of labour is being considered on both the success and the safety of vaginal birth following caesarean delivery. The contribution of induction of labour to uterine rupture is not entirely clear. Although large multi-center randomised trials comparing planned elective repeat caesarean delivery vs vaginal delivery following prior caesarean delivery are required for conclusive evidence; current evidence suggests that, in properly selected women, vaginal birth can be safely achieved if adequate facilities to monitor the foetus and immediate caesarean can be performed. Unbiased evidence-based information should be given to patients in making decisions about mode of delivery based on individual characteristics. The purpose of this review is to understand each factor that would influence the success and safety of vaginal birth after caesarean delivery.

Keywords

Trial of labour Caesarean section Previous caesarean section Uterine rupture VBAC Induction of labour 

Abbreviations

C-section

Caesarean section

TOL

Trial of labour

C-delivery

Caesarean delivery

UR

Uterine rupture

PPH

Postpartum haemorrhage

ERCD

Elective repeat caesarean delivery

VBAC

Vaginal birth after caesarean

IOL

Induction of labour

LUS

Lower urerine segment

BMI

Body mass index

CPD

Cephalopelvic disproportion

Copyright information

© European Board and College of Obstetrics and Gynaecology 2007

Authors and Affiliations

  1. 1.Women’s Health DirectorateBlackpool Victoria HospitalLancashireUK
  2. 2.Royal Blackburn HospitalBlackburnUK
  3. 3.Burnley General HospitalBurnleyUK

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