Vaginal birth after cesarean delivery. Trial of labor in women with breech presentation.
Vaginal birth after cesarean delivery in a woman with breech presentation is a controversial issue. In this prospective study, 137 patients had a breech presentation. Of them, 27 (19.7%) met the protocol criteria for attempted vaginal delivery and desired a trial of labor. Thirteen (48%) achieved vaginal delivery, with no increase in fetal or maternal morbidity. Our data suggest that in selected patients, a trial of labor after a cesarean delivery with a breech presentation is a reasonable consideration.
Published In/Presented At
Sarno AP Jr, Phelan JP, Ahn MO, Strong TH Jr. Vaginal birth after cesarean delivery. Trial of labor in women with breech presentation. J Reprod Med. 1989 Oct;34(10):831-3. PMID: 2795566.
Medicine and Health Sciences
Department of Obstetrics and Gynecology