[Vaginal birth after cesarean. A safe option?].

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.

• Authors: Carlos Quesnel García-Benítez, Miguel de Jesús López-Rioja, Diana Elena Monzalbo-Núñez
• Journal: Ginecologia y obstetricia de Mexico (Ginecol Obstet Mex) Vol. 83 Issue 2 Pg. 69-87 (Feb 2015) ISSN: 0300-9041 [Print] Mexico
• Vernacular Title: Parto después de cesárea una opción segura?
• PMID: 25993770 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Delivery, Obstetric (methods)
• Female
• Humans
• Labor, Obstetric
• Pregnancy
• Pregnancy Outcome
• Retrospective Studies
• Vaginal Birth after Cesarean (statistics & numerical data)