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Trial of Labor After Cesarean Section Among Women with Unique Lower Segment Scarred Uterus and Fetal Weight >3500 g: Prognostic Factors for a Safe Vaginal Delivery

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Abstract

Objective

To evaluate outcome of trial of labor after cesarean section (TOLAC) with fetal weight >3500 g.

Materials and Methods

This retrospective descriptive study was carried out between March 1, 2012, and February 28, 2015. Medical and obstetrical records of women with birth weight (BW) >3500 g admitted in the labor ward with advanced labor or admitted in early labor but with underestimated fetal weight >3500 g were analyzed. Main variables analyzed included maternal parity, vaginal delivery prior to TOLAC, the BW and the integrity of the uterine scar.

Results

Mean BW was 3789.3 g. Out of 36 women, 75 % had a successful TOLAC. Women who delivered vaginally before TOLAC had a higher success rate than women who never delivered vaginally (94.1 vs. 63.1 %, P < 0.044).

Conclusion

Successful TOLAC with birth weight >3500 g can be observed among women, especially among those admitted in advanced labor or with successful vaginal delivery prior to the current TOLAC.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University Teaching Hospital, P.O. Box 1364, Yaoundé, Cameroon

    Elie Nkwabong & Joseph Nelson Fomulu

  2. Department of Obstetrics and Gynecology, Nylon District Hospital, Douala, Cameroon

    Fabrice Lionel Djomkam Youmsi

Authors
  1. Elie Nkwabong
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  2. Joseph Nelson Fomulu
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  3. Fabrice Lionel Djomkam Youmsi
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Corresponding author

Correspondence to Elie Nkwabong.

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The authors have none to declare.

Ethical Standards

This study entitled “Trial of labor after cesarean section among women with unique lower segment scarred uterus and fetal weight 3500 g: prognostic factors for a safe vaginal delivery” received approval from the institutional ethics.

Additional information

Elie Nkwabong, MD, is an Obstetrician and Gynecologist in Department of Obstetrics and Gynecology at University Teaching Hospital and Faculty of Medicine and Biomedical Sciences; Joseph Nelson Fomulu, MD, is an Obstetrician and Gynecologist in Department of Obstetrics and Gynecology at University Teaching Hospital, Yaoundé; Fabrice Lionel Djomkam Youmsi, MD, is a General Practitioner in Department of Obstetrics and Gynecology at Nylon District Hospital (Cameroon).

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Nkwabong, E., Fomulu, J.N. & Djomkam Youmsi, F.L. Trial of Labor After Cesarean Section Among Women with Unique Lower Segment Scarred Uterus and Fetal Weight >3500 g: Prognostic Factors for a Safe Vaginal Delivery. J Obstet Gynecol India 66 (Suppl 1), 202–206 (2016). https://doi.org/10.1007/s13224-015-0835-1

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  • DOI: https://doi.org/10.1007/s13224-015-0835-1

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