trail of labor after cesarean section
Conditions
Interventions
TOLACs versus TOLACf versus ERCS versus SLP:none
Sponsors
Obstetrics and Gynecology Hospital, Fudan University
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Women with one previous cesarean delivery with a low-transverse incision and without TOLAC contraindications, meeting the following conditions: 1. the pregnancy interval (birth to due date/actual birth date) is more than 18 months; 2. only one cesarean section and no other uterine scar; 3. previous uterine incision with lower transverse segment, without dehiscent incision; 4. a single pregnancy with cephalic presentation; 5. B-ultrasonography showed no defect in the anterior inferior uterine segmen, during 32-34 weeks of gestation; 6. delivery gestational age = 28 weeks; 7. estimated fetal weight < 4.0Kg; 8. there was no previous cesarean section indication or no new cesarean section indication.
Exclusion criteria
Exclusion criteria: Women meet one of the following conditions: 1. the previous cesarean section with puerperal infection, late postpartum hemorrhage, or endless menstruation after postpartum; 2. women with previous uterine rupture; 3. women with uterine diverticulum or previous diverticular repair; 4. women who have other absolute contraindications to vaginal birth that apply irrespective of the presence or absence of a scar (e.g. major placenta praevia).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| labor duration;delivery mode;postpartum blood loss;Apgar score;cases of uterine rupture;Newborns admitted to the NICU;Hospital stay;Transfusion therapy; | — |
Countries
China
Contacts
Public ContactHaiyan Liu
Obstetrics and Gynecology Hospital, Fudan University
Outcome results
None listed