Vol 43 # 3 September 2011 - Kma.org.kw

More documents

Recommendations

Info

194 Re-appraisal of Vaginal Delivery after Previous Two Cesarean Sections September 2011 of CS. It is recommended that every woman who is planning a birth after two previous CS, is encouraged and supported to plan a vaginal birth in a hospital setting. CONCLUSION The findings of this study are similar to those of previous studies suggesting that a trial of vaginal delivery after prior two CS is a reasonable option in women in whom it is not obstetrically contraindicated and who are appropriately counseled and managed. The high success rate of vaginal deliveries (95%) achieved in this study group could be attributed to its selective nature. However, the sample size may be too small to draw any firm conclusions. Therefore, larger trials would need to be undertaken in our community to support the results achieved. As much as possible, women with previous two CS should be involved in the decision-making regarding the mode of their delivery to reduce the rise in repeat CS rate. Unless something is done about the rise in the CS rate, our obstetrics’ future may end in peril of repeated CS. It is advisable therefore, that every obstetric unit should have ongoing CS reduction initiatives, with emphasis laid on the importance of careful selection of such women. ACKNOWLEDGMENT I am grateful to Ms Najma Khalil for her assistance in statistics and would wish to thank Ms Denden Ponsaran for her secretarial work. I would also like to offer my sincere appreciation to Professor Babatunde Adelusi for editorial advice. REFERENCES 1. Obstetricians and Gynaecologists’ Clinical Effectiveness Support Unit: National Sentinel Caesarean Section Audit Report: London (UK): Royal College of Obstetricians and Gynaecologists: 2001. 2. Khashoggi T, Sultan MH, Al-Nuaim L, Addar M, Chowdhury N, Adelusi B. Primary CS in King Khalid University Hospital: Indications and obstetric outcome. Ann Saudi Med 1995; 15:585-588. 3. ACOG practice bulletins: Vaginal birth after previous cesarean delivery. Int J Gynecol Obstet 1999; 66:197- 204. 4. Hamilton BE , Martin JA , Sutton PD. Births: preliminary data for 2003. Natl Vital Stat Rep 2004; 53 (9). 5. Menacker F. Trends in cesarean rates for first births and repeat cesarean rates for low risk women: United States, 1990-2003. Natl Vital Stat Rep 2005; 54:1-8. 6. Jakobi P, Weissman A, Paldi E. Reversing the upward trend in the caesarian section rate. Eur J Obstet Gynecol Reprod Biol 1987; 25:105. 7. Shiono PH, McNellis D, Rhoads GC. Reasons for the rising cesarean delivery rates: 1978 - 1984. Obstet Gynecol 1987; 69:696 - 700. 8. Sultan MH, Al-Nuaim L, Khashoggi T, Chowdhury N, Kangave D, Adelusi B. Sequelae of repeat caesarean sections. Int J Gynecol Obstet 1996; 52:126-132. 9. Gillian M, Rosenberg D, Davis F. The likelihood of placenta previa with greater number of caesarean deliveries and higher parity. Obstet Gynecol 2002; 99:976-980. 10 Kastner E, Figueroa R, Garry D. Emergency peripartum hysterectomy: Experience in a community teaching hospital. Obstet Gynecol 2002; 99:971-975. 11. Paul RH, Phelan JP, Yeh S. Trial of labor in patients with a prior cesarean birth. Am J Obstet Gynecol 1985; 151:297-304. 12. Gibbs CE. Planned vaginal delivery following caesarean section. Clin Obstet Gynecol 1980; 23:507-515. 13. Flamm BL, Lim OW, Jones C, Fallon D, Newman LA, Mantis JK. Vaginal birth after CS: Results of a multicentre study. Am J Obstet Gynecol 1988; 158:1079- 1084. 14. Weinstein D, Benshushan Y, Ezra N, Rojonsky. Vaginal birth after CS: Current opinion. Int J Gynecol Obstet 1996; 53: 1-10. 15. Coltart TM, Davies JA, Katesmark M. Outcome of second pregnancy after a previous CS. Br J Obstet Gynaecol 1990; 97:1140-1143. 16. Muylder X DE, Thiery M. The cesarean delivery rate can be safely reduced in a developing country. Obstet Gynecol 1990; 75:360-364. 17. McMahon M, Luther E, Bowes W, et al. Comparison of a trial of labor with an elective second caesarean section. N Eng J Med 1996; 335:689-695. 18. Flamm BL, Newman L, Thomas S, et al. Vaginal birth after caesarean delivery; Results of a 5 year multicentre collaborative study. Obstet Gynaecol 1990; 76:750-754. 19. Porreco RP, Meier PR. Trial of labour in patients with multiple previous caesarean sections. J Reprod Medicine 1983; 28:770-772. 20. Farmakides G, Duvivien R, Schulman H, Schneider E, Biordi J. Vaginal birth after two or more previous CS. Am J Obstet Gynecol 1987; 156:565-566. 21. Phelan JP, Ahn MO, Diaz F, Brar HS, Rodriguez MH. Twice a caesarean section, always a cesarean? Obstet Gynecol 1989; 73: 161-165. 22. Jeannes N, Stephens A, Myer DO, Gleicher N. Obstetric outcome of patients with more than one prior CS. Am J Obstet Gynecol 1989; 16:364-367. 23. Chattopadhyay SK, Sherbeeni MM, Anokute CC. Planned vaginal delivery after previous caesarean section. Br J Obstet Gynecol 1994; 101:498-500. 24. Bretelle F, Cravello L, Shojai R, Roger V, D’Ercole C, Blanc B. Vaginal birth following two previous caesarean sections. Eur J Obstet Gynecol Reprod Biol 2001; 94:23- 26. 25. Spaans WA , van der Vliet LME, Roell -Schorer EAM, Bleker OP, van Roosmalen J. Trial of labor after two or three previous CS. Eur J Obstet Gynecol Reprod Biol 2003; 110:16-19. 26. Landon MB, Spong CY , Thom E, Hauth JC , Bloom SL, Varner MW. Risk of uterine rupture with a trial of labor in women with multiple and single prior cesarean delivery. Obstet Gynecol 2006; 108:12-20. 27. Cragin EB. Conservatism in Obstetrics. NY Med J 1916; 104:1-3.
September 2011 KUWAIT MEDICAL JOURNAL 195 28. Cahill A, Tuuli M, Odibo A, Stamilio D, Macones G. Vaginal birth after caesarean for women with three or more prior caesareans: assessing safety and success. BJOG 2010; 117:422-428. 29. Rosen MG, Dickinson JC, Westhoff CL. Vaginal birth after caesarean: a meta-analysis of morbidity and mortality. Obstet Gynecol 1991; 77:465-470. 30. Brody CZ, Kosasa TS, Nakayama RT, Hale RW. Vaginal birth after caesarean section in Hawaii. Experience at Kapiolani medical center for women and children. Hawaii Med J 1993; 52:38-42. 31. Riva HL, Teich SC. Vaginal delivery after CS. Am J Obstet Gynecol 1961; 81:501-510. 32. Pruett KM, Kirshon B, Cotton DB, Poindexter AN. Is vaginal birth after two or more caesarean section safe? Obstet Gynecol 1988; 72:163-165. 33. Clark SL, Eglinton GS, Beall M, Phelan JP. The effect of indication for previous caesarean section on subsequent delivery outcome in patient undergoing trial of labor. Reprod Med 1984; 29:22-25. 34. Flamm BL, Goings JR, Fuelberth NJ, Fishermann E, Jones C, Hersh E. Oxytocin during labor after previous caesarean section: results of multicenter study. Obstet Gynecol 1987; 70:709-712. 35. Lao TT, Leung BF. Rupture of the gravid uterus. Eur J Obstet Gynecol Reprod Biol 1987; 25:175-180. 36. Pedowitz P, Schwartz RM. The true incidence of silent rupture of CS scars: A prospective analysis of 403 cases. Am J Obstet Gynecol 1957; 74:1071-1081. 37. Halperin ME, Moore DC, Hannah WJ. Classical versus low-segment transverse incision for preterm caesarean section: Maternal complications and outcome of subsequent pregnancies. Br J Obstet Gynecol 1988; 95:990-996. 38. ArunKumaran S, Chua S, Ratnam SS. Symptoms and signs with scar rupture - value of uterine activity measurements. Aust NZ J Obstet Gynecol 1992; 32:208- 212. 39. Cheek T, Gutsche B. Epidural analgesia for labor and vaginal delivery. Clin Obstet Gynecol 1987; 30:515-532. 40. Jukelevics N. Women in the crossfire: Forced repeat caesarean. Birth 2002; 29:149-150. 41. Flamm BL. Vaginal birth after caesarean: What’s new in the new millenium? Curr Opin Obstet Gynaecol 2002; 14:595-599.
Page 1 and 2: VOLUME 43 NUMBER 3 KMJ KUWAIT MEDIC
Page 3 and 4: Kuwait Medical Journal (KMJ) Publis
Page 5 and 6: Instructions for Authors five), fol
Page 7 and 8: September 2011 KUWAIT MEDICAL JOURN
Page 27: September 2011 KUWAIT MEDICAL JOURN
Page 53 and 54: September 2011 their cases with an
Page 79 and 80:
September 2011 urea 4.3 mmol/l, cre
Page 81 and 82:
September 2011 KUWAIT MEDICAL JOURN
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
show all

Vol 43 # 3 September 2011 - Kma.org.kw

Create successful ePaper yourself

Delete template?

Save as template?