Kraiem Jamel, Ben Brahim Youssef, Chaabane Kaïs, Sarraj Naouel, Chiha Narjess, Falfoul Abdelaziz
Clinique Universitaire de Gynécologie obstétrique de l'Hôpital Mohamed TLATLI de Nabeul, Tunisie.
Tunis Med. 2006 Jan;84(1):16-20.
The purpose of this study is to determine predictive factors of successful vaginal delivery after cesarean section, and to estimate the risks of this trial of labor (TOL). A retrospective study about 352 women undergoing a TOL after cesarean section was carried out. Different variables stratified by the termination of the TOL were analysed with statistic tests. TOL success rate was 76.1%. Parity > or = 3. prior vaginal delivery following cesarean section, body mass index < 30, fundal height < 34 cm, and low fetal head level at the beginning of labor increased significantly the probability of success. Uterine rupture rate is 1.1%. Failure of TOL was associated with a higher risk of uterine scar dehiscence and rupture, and higher fetal morbidity. A predictive score of successful vaginal delivery after cesarean section is proposed.
