Induction of labour after a previous caesarean section: A retrospective study in a district general hospital

Summary A retrospective study was undertaken in a district general hospital to identify factors associated with vaginal delivery, as opposed to caesarean section, in women undergoing induction of labour after a previous caesarean section. The study was undertaken over 9 years (April 1994 - May 2003)...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology 2005-10, Vol.25 (7), p.662-665
Main Authors: Pathadey, S. D., Van Woerden, H. C., Jenkinson, S. D.
Format: Article
Language:English
Subjects:
Adult
Births
Cesarean Section, Repeat - statistics & numerical data
Cohort Studies
Confidence Intervals
Female
Follow-Up Studies
Hospitals
Hospitals, District
Humans
Incidence
Labor, Induced - statistics & numerical data
Maternal Age
Odds Ratio
Parity
Pregnancy
Pregnancy Outcome
Probability
Retrospective Studies
Risk Factors
Studies
Surgery
United Kingdom
Vaginal Birth after Cesarean - statistics & numerical data
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Summary:Summary A retrospective study was undertaken in a district general hospital to identify factors associated with vaginal delivery, as opposed to caesarean section, in women undergoing induction of labour after a previous caesarean section. The study was undertaken over 9 years (April 1994 - May 2003) and included patients in their second or subsequent pregnancy who had previously had one lower segment caesarean delivery and in whom labour had been induced. Records were extracted from a database and anonymised. Vaginal delivery after induction of labour was attempted in 81 patients of whom 64 (79.0%) subsequently delivered vaginally. There were few complications and no cases of uterine rupture. Two factors had a statistical significant relationship with vaginal birth after induction of labour; occipito-anterior position (OR 10.18, 95% CI 1.42 - 112.7, Yates corrected χ2; p = 0.001) and more than one previous birth (OR 4.76, 95% CI 1.28 - 21.67, p = 0.017). Other associations were explored but were not statistically significant. This paper contributes to the literature on factors associated with vaginal delivery after induction of labour and previous caesarean section, which may inform the selection of cases, and consequent success rates for vaginal delivery.
ISSN:0144-3615
1364-6893
DOI:10.1080/01443610500280317