Vaginal Birth After Cesarean Section
(VBAC) Bibliography

1916-1989

Other Years 1916-1989 1990-1994 1995-1999 2000-2004 2005-2009
Complete Collections PDF Word FileMaker Pro

compiled primarily by: Philip J. Rosenow, M.D. < philip "at" netpath "dot" net >

HTML and additions by: Ken Turkowski, research scientist

Primary sort by: Date of Publication, Secondary sort by: Author, Last Search: 6/2005

Disclaimer: This bibliography has been made publicly accessible in order to faciltate research by medical professionals. No claim is made for accuracy of the contents, nor is any guarantee made to update it over time, although we have updated it quarterly since 1996. Use at your own discretion.

1989
Author Title Journal vol pg yr Abstract
Adams Intrapartum UR OG 73 471 - 3 1989 Case report of intrapartum UR in pt who was DES exposed who had no known predisposing factors for UR.
Chua
(Singapore)
TOL after prev. CS: OB outcome Aus NZ JOG 29 12 1989 305 pts. with LTCS scar, 207 allowed TOL, 63% successful with recurrent indic., 73% for non recurrent indication. There were 3 UD (Pitocin protocol not followed).
Eriksen
(Wright Patterson AFB, Ohio)
VBAC: a comp. of mat/neon morbid. to elective repeat LTCS AJPeri 6 375 1989 Retro., 141 pts. elig, 73 attempt VBAC, 81% successful with no sig. difference in morbid compared with ERCS except estimated blood loss and days in hosp.
Flamm
(Kaiser)
VBAC: is suspected fetal macrosomia a contraindication? OG 74 694 1989 Eval. 301 pts. with birthweight >4000 undergoing TOL/VBAC.. In the birth range 4-4499 gms. 58% delivered vaginally, in >4500 gms. 43% del. vag.. No sig. differences in peri/mat morbidity were found.
Guerdan
(Beaver, PA)
VBAC in a community hosp: a family practice residency experience J Am Board FP 2 169 1989 106 pts. with Hx. of prev. CS, 16 attempted VBAC, 13 delivered.
Hangsleben VBAC program in a nurse midwifery service 5 years exp J nurs Midw 34 179 1989 Management similar except close fetal monitoring, IV and lab studies. 53 attempted VBAC., 83% successful.
Klein
(Austria)
Diagnostic potential of cardio- tocography for uterine rupture Acta OGS 68 653 1989 3 pts. with silent uterine rupture. Dx not made until surgery even with cardiotocography.
Lonky Predication of CS scars with US imaging during preg. JUSMed 8 15 1989 46 PCS and 30 controls had US of scar.
Maouris
(Queen Charlotte's, London)
Successful vag. delivery after CS scar rupture: a case report Clin Exp OG 16 1 1989 Case report of successful vaginal del. in pt. with prev. UR.
Meehan
(University College, Galway, Ireland)
Del. following CS and perinatal mortality AJ Peri 6 90 1989 Retro., 1972-1982, 1498 pts. with PCS analyzed, 44% had repeat CS, 56% had TOL. 83% had successful vag. del. and 17% had emergency repeat CS. There were 46 perinatal deaths giving a perinatal mort rate of 30.3/1000. It was lowest in the elect repeat gp=10.6/1000, the PNM in the TOL gp was twice as high. (overall PNM overall hosp pop was 22.5/1000) 4 deaths in assoc. with UD.
Meehan
(University College, Galway, Ireland)
TOL following prior section; a 5 year pros study Eur JOGRB 31 109 1989 Prospect, 506 TOL, 79% successful with one UR(0.2%). Induction was performed in 127 pts. with 74% successful., Pitocin was given for induction/augmentation in 162 pts. with 80% successful with one UR and 4 UD-bloodless.
Meehan
(University College, Galway, Ireland)
True rupture of the CS scar: a 15 year review 1972-1987 Eur JOGRB 30 129 1989 2434 pts. with prev. CS scar, 45% were sched for repeat(2 or more prev., recurrent) TOL was undertaken by 55% and 81% achieved vag. del.. Regional anes. employed in 26% and Pitocin in 26%. There were 6 true scar rupture(0.44%) resulting in 1 stillborn, 2 neonatal deaths with no maternal death. There were 4 uterine ruptures in pts. sched for repeat(0.37%) 1. classical scar rupture with fresh stillborn, 2 with placenta praevia/percreta with bladder involvement both resulting in maternal death, 1 with placenta previa accreta.
Meehan
(University College, Galway, Ireland)
Update on VBAC: a 15 year review 72-87 IJGO 30 205 1989 2434 prev. CS, 1350 permitted TOL, 31% had induction of labor and 32% had augmentation of labor. Period 72-82 compared to 82-87 had falling UR rate from .6% to .2% and elimination of procedure related perinatal death. 2 maternal deaths in repeat CS gp, none in VBAC.
Nielsen
(Sweden)
Rupture and dehiscence of CS scar during preg. and delivery AJOG 160 569 1989 Prospect, 10 years, 2036 pts. with hx. of CS, TOL allowed in 1008 and 92,2% were successful. They had uterine rupture rate of .6% versus .4% for total gp. "rupture did not cause serious complications". Uterine dehiscence rate was 4%. "Vag. del. is safest route of del. for these pts.."
Novas
(Mt Sinai Hosp, Chicago)
OB outcome of pts. with more than one prev. CS AJOG 160 364 1989 Retro., 69 pts. with more than one prev. CS, 36 had TOL, 80% successful. 20 of the 69 had 3 or more prev. CS, 9 had TOL and 8 delivered vag.. Conc is that it is safe even with more than one PCS..
O'Connor
(Dublin)
Preg. following simple repair of UR BJOG 96 942 - 4 1989 18 preg. in 15 pts who had a simple repair of an UR. 17 had successful outcomes and there was no case of recurrent UR.
Ophir
(Israel)
Breech present after CS: always a CS? AJOG 161 25 1989 Retro. 71 breech del. after prev. CS 34% had elective repeat CS, 66% had TOL with 79% del. vaginally. Neonatal morbid did not differ, mat morb higher in CS gp.
Phelan Delivery following CS and perinatal mortality AJPeri 6 90 1989 Editorial.
Phelan
(LAC/USC)
Twice a CS, always a CS OG 73 161 1989 USC, Retro., 1088 pts. with 2 prev. CS, 501 underwent TOL and 69% del. vaginally. The overall UD rate(for all VBAC) was 3%, the rate for this gp was 1.8% versus 4.6% in those who did not attempt VBAC. Overall, Pitocin was used in 284(57%) and was assoc. with a UD rate of 2.1% versus 1.4% in no Pitocin gp. Conc: TOL in 2 prev. CS reasonable.
Rodriguez Uterine rupture: are IUP catheters useful in the Dx? AJOG 161 666 1989  
Sarno VBAC . TOL in women with breech presentation JRM 34 831 1989  
Strong
(USC)
VBAC in the twin gestation AJOG 161 29 1989 56 pts. with twins and prev. CS, 45% attempted VBAC, 72% were successful, 4% had dehiscence(compared to 2% in with singleton preg.).
vanAmeron
(Hinsdale, IL)
VBAC in an HMO HMO Pract 3 104 1989 Acceptance has been slow in community. All pts. offered, 72 candidates, 66 attempted TOL, only 4 required CS.
Veridiano
(SUNY)
VBAC IJGO 29 307 1989 Retro. 194 pts. with PCS offered VBAC, 151 del. vag. (79%) successfully.
Yetman
(USN, Portsmouth, VA)
VBAC: a reappraisal of risk AJOG 161 1119 1989 3 year, Retro., 61% successful VBAC, infants weighing >3720 GMS were less likely to be successful, Scar separation rate was 1.79%, one pt. had CS/Hyst, 2 perinatal deaths-both at greater than 40 wks(perinatal mortality rate of 8.9/1000). Pts. should be counseled, EFW should play a part in decision.

1988
Author Title Journal vol pg yr Abstract
ACOG Guidelines For Vaginal Delivery After A Previous Cesarean Section ACOG Comm. Op. 64   1988 30 min. rule superseded: replaced by #143
Chattopadhyay
(King Saud Univ.)
VBAC: management debate IJGO 26 189 1988 1847 pts. with prev. CS, 94% attempted VBAC with one prev. CS, 4% with 2 prev. CS. VBAC successful in 51% with one prev. CS, 36% successful with prev. indication of CPD. 0.9% had uterine scar dehiscence.
Clarke
(Utah Valley Regional Perinatal Center, Provo, Utah)
Rupture of the scarred uterus OGCLNA 15 737 1988 Review. Bulk of literature indicates that "scar separation following a LTCS is not a sig. problem in clinical OB". Rupture is not higher than in none scarred uterus. "maternal and fetal morbidity should be negligible" Pitocin and epidurals can be used. Most separations will be heralded by variable decels. The detection of a scar separation in a non-bleeding pt. does not appear to mandate repair. "The uncertainties about future delivery must be explained to those unrepaired pts.."
Davies Trial of scar BJ Hosp Med 40 379 1988  
Duff Outcome of TOL in pts. with single PCS for dystocia OG 71 380 1988 prospective, 131 pts. with one PCS for dystocia studied, 68% had successful TOL compared to 81% success when first for other indications. There was one UD. Conc approx. 2/3 of pts. with hx. of PCS for dystocia will del.
Flamm
(Kaiser)
VBAC: results of a multicenter study AJOG 158 1079 1988 4929 pts. with prev. CS, 1776 tried VBAC, 74% were successful. No mat/fet mortality related to rupture.
Halperin Classical versus LTCS for preterm CS: maternal complications and outcome of subsequent pregnancies. Br JOG 95 990 - 996 1988 A previous classical incision is assoc. with a rate of rupture of 12%.
Lenkovsky Vesicouterine fistula: a rare comp of CS J Uro 139 123 - 5 1988  
Martin VBAC: the demise of routine repeat abdominal delivery OGCNA 15 719 1988 Review of the state of VBAC versus repeat CS.
McKenna VBAC. A safe option in carefully selected patients Postgrad Med 84 211 1988 TOL has been demonstrated to be a safe and reasonable alternative to repeat CS in carefully selected patients. If TOL were offered to 1/2 of eligible pts. and the success rate were only 50%, the CS rate would be reduced to 19% for a total cost savings of 200,000,000.
Meehan
(Univ. College Galway, Ireland)
Trial of scar with induction/oxy in del. following PCS Clin Exp OG 15 117 1988 10 year period, 1498 pts. with one or more PCS, TOL was undertaken in 844 (56%). 65% of the TOL had some form of Pitocin, 83% del. successful. There was no inc UR or UD. There was a 50% mortality with UR with incid. of UR of 1:169.
Michaels US Dx of defects in the scarred lower uterine segment during preg. OG 71 112 1988 Prospect, found incid. of 20% defects Dx on US.
Myers
(Mt Sinai, Chicago)
A successful program to lower cesarean-section rates NEJM 319 1511 1988 Describes a program to lower cesarean section rate requiring a second opinion, objective criteria for the 4 most common indications for CS and a detailed review of all CS and individual physicians' CS rate. The CS rate fell from 17.5% to 11.5%. Primary CS rate fell from 12% to 6.8%. There was also a fall in repeat CS rates but these were not sig.
Ollendorff
(Northwestern U, IL)
VBAC for arrest of labor: is success determined by maximum cx. dilatation during prior labor? AJOG 159 636 1988 review of 229 attempted VBAC, eval those with hx. of CPD and FTP for max cx. dil, found cx. dil at time of PCS was not good predictor.
Osmers
(Germany)
US detection of an asympt. UR due to necrosis during 3rd trim. IJGO 26 279 1988 Case report of US Dx of UR, confirmed by surgery.
Placek 1986 CS rise; VBAC inch upward AJ Pub H 78 562 - 563 1988  
Placek VBAC in the 1980s AJ Pub Health 78 512 1988 1980-1985, National Hospital Discharge Survey data, only 3.4% of mothers in 1980 had a VBAC, this increased to 6.6% in 1985. Between 80-85, 1.4 million repeat CS were performed, data suggests that 500,000 could have been VBAC, saving surgical fees and 1.2 million days of hospital stay.
Pruett Unknown uterine scar and TOL AJOG 159 807 1988 393 pts had TOL after PCS, 300 with unknown scar, 88 with LTCS and 5 with LVCS. Conc: there was no diff. in known and unknown scar in maternal/fetal morbidity(nor in one layer versus two layer closure)
Pruett
(Baylor)
Is vaginal birth after 2 or more CS safe? OG 72 163 1988 55 pts. with hx. of 2 or more prior CS underwent TOL.(42 incis. unknown, 11 LTCS, 2 LVCS) 45% had successful vaginal del.. and 55% received Pitocin. The incid. of vag. del. was sig. lower in gp receiving Pitocin. 3 pts. had scar separation, 2 had hyst.
Schneider TOL after PCS. a conservative approach JRM 33 453 1988 339 underwent TOL, 60% successful. There were no UR or UD.
Targett
(Mercy Hosp, Melbourne)
CS and trial of scar Aus NZ JOG 28 249 1988 Retro., 16 year, overall CS rate was 13% with 39% being repeats of the 4,892 pts. with prev. CS, 1577(32%) were allowed to labor and 1197(76%) were successful. 13 pts. sustained a uterine rupture and 2 infants died.

1987
Author Title Journal vol pg yr Abstract
Al-Sibai
(Saudi Arabia)
Emergency Hyst. in OB- a review of 117 cases Aust NZ JOG 27 180 - 4 1987 117 cases of emergency OB. hyst. performed between 1976-85. Indications were: 53.8% for UR, 20.5% for intractable PPH, 7.7% for placenta accreta, 7.7% for placenta previa, 4.5% for hemorrhage at time of CS, 3.4% for Couvelaire uterus and 2.6% for abdominal preg. There was a 5.1% mortality.
Amir TOL without oxytocin in pt. with a PCS AJPeri 4 140 1987 557 pts. with PCS, 261 had TOL , none received Pitocin, 215 (82%) were successful. When 1o was for CPD, 67% delivered. Epidural proved safe and effective. Pitocin should be reserved for selected pts. with well defined indic.
de Jong
(South Africa)
TOL following CS- a study of 212 pts. IJGO 25 405 1987 rural hosp, 52% VBAC.
Farmakides VBAC after 2 or more CS AJOG 156 565 1987 Report of 57 with 2 or more CS.
Fedorkow Ruptured uterus in preg.: a Canadian hosp. experience CMAJ 137 27 1987 15 cases of UR in 52,854 deliveries. 7 had hx. of prev. CS, long obstructed labor did not appear to play a part, UR repaired in 11 pts., 4 had hyst.
Flamm
(Kaiser)
Pitocin during labor VBAC, results of a multicenter study OG 70 709 1987 1776 pts. attempting VBAC, 485 received Pitocin. no sig. differences found in comparison. Conc Pitocin is safe.
Lao Is X-ray pelvimetry useful in TOL after CS Eur JOG 24 277 1987 445 pts. attempt VBAC, the incid. of successful. TOL is not related to the measurements of the pelvis.
Lao Labor induction for planned vag. del. in PCS Hong Kong Acta OGS 66 413 1987 137 pts. with PCS had induction for TOL, rates of repeat similar to those in spon labor, there were no serious fetal or maternal comp.
McClain
(Med Anth Prog, U of C, SFran)
Pt. decision making: the case of del. method after PCS Cult Med Psyc 11 495 1987 About 2/3 of prev. CS attempt VBAC with 1/3 still choosing repeat CS. 100 pts., describe social motives for decision VBAC/repeat, negotiation strategies that pts. use with physicians to gain decision making power and to reduce uncertainty surrounding L+D.
Molloy Del. after CS: review of 2176 consecutive cases BMJ 294 1645 1987 Retro., 2176 pts. with prev. LTCS, 18% had el. repeat CS, 1363 spon labor (301 received Pitocin to augment), 418 had induction of labor. 91% del. vaginally. Those with prev. vag. del. were more successful, Those whose CS done before 4 cm dil were less likely to be successful, Those requiring Pitocin less likely to be successful, UR was 0.45% of the pts. allowed to labor. Induction of labor does not inc risk of UR or CS.
Phelan
(LAC/USC)
VBAC AJOG 157 1510 1987 Prosp., 2708 pts. with hx. of prev. CS, 1796 attempted VBAC, 81% successful, (1 prev. 82%, 2 prev. 72%, 3 prev. 90%)rupture rate similar .3% to .5%, dehis. rate similar 1.9% comparing VBAC vs. Repeat CS, benefits outweigh the risks.
Schneider TOL in pts. with PCS and an intervening vag. del. Aus NZ JOG 27 178 1987 202 pts. having one vag. del. after prior CS were followed up. 103 TOL were carried out, 85.4% were successful. There was no fetal loss or sig. mat or neon morbidity.
Shiono Recent Trends in CS and TOL rates in the US JAMA 257 494 1987 1979 2% attempted VBAC, 1984 8% attempted VBAC. Rates ranged from 2% in small hosp to 25% in larger hosp. 50% of TOL were successful. CS rates rose from 14% in 79 to 19% in 84.(based on questionnaire sent to 538 hosp, 87% responded)
Silver Predictors of vaginal delivery in patients with PCS who require oxytocin AJOG 156 57 1987 Prospective analysis of 98 consecutive patients with PCS who received oxytocin while attempting TOL (34 inductions and 64 augmentations). The overall success rate was 59%. Found that oxytocin during TOL was effective in the majority of patients and that an early response during augmentation was predictive of success.
Silver When does a statistical fact become an ethical imperative? AJOG 157 229 1987 TOL is a safe and effective management alternative but remains underused. Discussed the ethical implications of "utility ethics", "informed consent" and "universal equality". Such considerations suggest that there is a professional (ethical) responsibility to increase the application of TOL.
Stovall
(U of Tenn.Memp)
TOL in prev. CS pts. excluding classical CS OG 70 713 1987 "T" and classical incis. excluded, 272 underwent TOL/VBAC, Pitocin and epidural used as needed, 76.5% success. 1 UR occurred. Pitocin and epi safe.

1986
Author Title Journal vol pg yr Abstract
Eden Rupture of the preg. uterus: a 53 year review OG 68 671 1986 Duke, Retro., 1 UR per 1424 deliveries.
Finley Emergent CS in pts. undergoing a TOL with LTCS scar AJOG 155 939 1986 Retro., 1156 attempt VBAC 1.6% had emergency del. rate not different for those without a scar
Hadley Eval. of the rel. risks of TOL versus elective repeat CS AJPeri 3 107 1986 Retro. of attempted VBAC, 171 pts., 75 offered TOL-40 agreed and 35 had elective repeat. 32/40 (80%) were successful Previous CPD had lowest acceptance rate.
Tancer Vesicouterine fistula. A review OGS 41 743 - 53 1986 Review, majority resulted from surgical trauma during LTCS.

1985
Author Title Journal vol pg yr Abstract
Clark Placenta previa -accreta and PCS OG 66 89 1985  
Horenstein PCS: the risks and benefits of Pitocin use in TOL AJOG 151 564 - 569 1985  
McClain Why women choose TOL or repeat CS J fam Prac 21 210 1985  
Megafu Factors influencing maternal survival in UR IJOG 23 475 - 80 1985 Commonest cause is obstructed labor in multip. There has been no rupture in primigravida. UR following PCS is also common. (no numbers given).
Nielsen X-ray pelvimetry and TOL after PCS: a prospective study Acta OGS 64 485 1985  
Paul Trial of labor in the pt. with a prior CS AJOG 151 297 1985 Prospect, 1208 pts. with prev. CS, 751 attempted VBAC, 82% success, no mat/fet mortality attrib to birth process, 38% received Pitocin. Rupt/dehis. similar.
Rahman
(Libya)
UR in labor. A review of 96 cases Acta OG Scand 64 311 - 5 1985 1977-80, 96 cases of UR for incid of 1 in 585 deliveries. 20 occurred in pts with PCS, UR in the unscarred uterus is a more catastrophic event. There is a marked difference in both maternal and fetal outcome between UR in scarred and unscarred uterus. Increased risk is PCS, high parity, CPD, malpresentation, oxytocin and unwise OB interference. 75% perinatal mortality but only 5% maternal mortality. Repair of the uterus and sterilization should only be performed when the UR is simple and transverse in the lower uterine seg.

1984
Author Title Journal vol pg yr Abstract
Beall VBAC in women with unknown types of scar JRM 29 31 - 35 1984  
Boucher Maternal Morb. as related to TOL after PCS: a quant. review JRM 29 12 - 16 1984 Retro., 873 pts. with PCS. TOL was found to be safe.
Clark Effect of indication for prev. CS on subseq. del. outcome in pts. undergoing TOL JRM 29 22 1984 308 pts. underwent TOL, pts. with prev. indic. of breech had highest successful. (84%), CPD/FTP lowest (64%).
Eglinton Outcome of a TOL after PCS, LAC/USC JRM 29 3 1984 In the US, 90% of PCS. undergo a repeat CS in 1984. This is a study of 871 pts. with PCS, 35% were permitted a TOL, 204 (78%) were successful. 22 perinatal deaths occurred in the 871 pts., none directly attributable to the TOL. There were 3 UR, one directly attributable to the TOL. 7 hysts were done, None attrib to TOL.
Flamm Vag. Del. Following CS: Use Of Oxytocin Augmentation And Epidural Anesthesia With Internal Tocodynamic And Internal Fetal Monitoring AJOG Mar 15 759 - 763 1984  
Horenstein Oxytocin use during a TOL in pts. with PCS JRM 29 26 1984 Retro., 1980, 308 pts. attempted VBAC 18.8% received Pitocin for induction or aug. of these 53.4% were successful, 84% of spon labor pts. were successful. There was no sig. difference in complications between the Pitocin gp and spon labor
Phelan PCS birth: TOL in women with macrosomic infants JRM 29 36 - 40 1984 140 pts. with a macrosomic infant(>4,000 GMS) were given a TOL, 94(67%) delivered vaginally. The most common indic. for CS was CPD, the dehiscence rates were similar when compared to those who did not undergo a TOL. Factors in successful vaginal delivery were a previous VBAC, no oxytocin usage and an indication for the previous CS other than CPD. The risk of TOL with a macrosomic infant appears to be no greater than that encountered in a similar gp without uterine scars.
Plauche Catastrophic uterine rupture OG 64 792 1984 23 cases of major rupture in which life of mother/fetus endangered. 61% were from prev. cs scar, 39% were with Pitocin, OB manipulation, labor disorders or external trauma. the most devastating cases were assoc. with grand multip. Fetal mortality was 35%.
Suonio Intrapartum rupture of uterus Dx by US: a case report IJGO 22 411 1984 Case report of UR Dx by US
Tahilraman PCS and TOL. Factors related to UD JRM 29 17 - 21 1984 No factor seemed to be an indic. at UR.

1983
Author Title Journal vol pg yr Abstract
ACOG Guidelines for Perinatal Care       1983  
Martin VBAC AJOG 146 255 - 263 1983  
Porreco TOL in pts. with multiple PCS JRM 28 770 - 772 1983 Combined study, TOL allowed with >1PCS, 66% del. successful with virtually no morbidity.
Uppington Epidural anal and PCS Anes. 38 336 1983  

1982
Author Title Journal vol pg yr Abstract
Demianczuk TOL after PCS: prognostic indicators of outcome AJOG 142 640 1982 92 TOL in PCS, 54% success, 3 cases of UD, no cases of mat or fetal mort. 27% success if cx. 3 cm dil at presentation, 69% success if cx. > 3 cm.
Lavin Vaginal del. in pts. with a PCS OG 59 135 - 148 1982  
Meier TOL following CS: a 2 year experience AJOG 144 671 1982 Started in 1980, 207 pts. attempted VBAC, 84.5% successful, there were no deaths and mat/fet morbidity was negligible. This vol program resulted in 27% decrease in CS rate.
Petitti In hosp mat. mortality in the US: time trends and rel to del. OG 59 6 1982 For all del., mortality declined from 25.7 to 14.3/100K from 1970-78. Vag. del. decrease 20.4-9.8, for CS from 113.8 to 40.9/100,000. Conc Mortality for CS del. is not less than 2 nor more than 4 times that of vag. del.

1981 &mdash 1916
Author Title Journal vol pg yr Abstract
Shy Evaluation of ERCS as a standard of care: an application of decision analysis AJOG 139 123 1981 Statistical evaluation of a hypothetical population comparing TOL and ERCS. Conclusion: contemporary practice mortality rates are essentially equal for both delivery practices. However, substantial cost savings are available with TOL.
Spaulding Current concepts of management of rupture of the gravid uterus. OG 54 437 1979 15 cases of UR, 47% had previous CS, 13% had received Pitocin before rupture. Perinatal mortality was 13%, no mat deaths. 60% had hyst.
Semchyshyn Infant survival following UR and complete abruptio OG 50 74s 1977 Case report of spon UR through prev. CS scar resulting in complete abruptio, extrusion of fetus in membranes and placenta into the peritoneal cavity. infant survived.
Skelly Rupture of the uterus: the preventable factors Safr Med J 50 505 1976 50 cases of UR
Ritchie Pregnancy after rupture of the pregnant uterus: a report of 36 preg. and a study of cases reported since 1932 BJOG 78 642 1971  
Reyes-Ceja Pregnancy following previous UR. Study of 19 patients OG 34 387 1969 Rate of repeat UR is 32% if the scar includes the upper segment of the uterus.
O'Driscoll Rupture of the uterus Proceed RSM 59 65 1966  
Dewhurst The ruptured CS scar BJOG 74 113 1957  
Cragin Conservatism in obstetrics N Y Med J civ 1 1916 "Once a Cesarean Section, always a Cesarean Section" (written when classical incision was standard)

ERCS=Elective repeat Cesarean Section, PCS=Prior Cesarean Section, TOL=Trial Of Labor, UR=Uterine Rupture, UD=Uterine Dehiscence, conc.=conclusion, ECV=External Cephalic Version, LTCS=Low Transverse Cesarean Section, LVCS=Low Vertical Cesarean Section, EFM=Electronic Fetal Monitoring, PNM=Peri-Natal Mortality, CPD=Cephalo-Pelvic Disproportion

We have honestly attempted to record everything accurately, however, please refer to original article for any major decisions pertaining to patient care.

Keywords for search:Vaginal Birth After CS, Cesarean Section, Uterine Rupture, Trial of Labor

Philip J. Rosenow, M.D.
2046 Stuart Court
Burlington, NC 27215-4500
philip "at" netpath "dot" net

Please send additions, corrections, problems or missing abstracts to: Ken Turkowski. turk "at" worldserver "dot" com

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last revised: 2/21/05