previous cesarean delivery
Conditions
Interventions
Epidural labor analgesia group:NA
Non delivery analgesia group:NA
Sponsors
Guangdong Province Hospital for Women and Children Healthcare
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1.The parturient has a history of one previous cesarean section with a transverse incision at the lower uterine segment. The previous cesarean section was uneventful, with no incision dehiscence, and recovery was as expected. There was no late postpartum hemorrhage or postpartum infection. Apart from the cesarean section scar, there are no other surgical scars on the uterus; 2.The fetus is a singleton, full-term, and head position; 3.There were no indications for a previous cesarean section, nor did any new indications for a cesarean section arise; 4.Ultrasound examination shows continuous myometrium in the lower anterior wall of the uterus. 5.It is estimated that the fetal weight is less than 4000 grams; 6.The interval between two deliveries is greater than or equal to 18 months;
Exclusion criteria
Exclusion criteria: 1.The indications for the first lower uterine segment cesarean section in parturients still exist, such as pelvic stenosis, cephalopelvic disproportion, abnormal fetal position, malformations or stenosis of the soft birth canal, as well as internal and external complications, such as heart disease, etc; 2.Severe obstetric complications such as fetal distress and placental abruption may occur during a second pregnancy of the mother; 3.Fetal problems, such as intrauterine hypoxia, multiple pregnancies, intrauterine infections, fetal overgrowth, etc; 4.Poor healing of the uterine incision in the lower segment of the uterus during the first cesarean section in a parturient woman;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mode of delivery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postpartum hemorrhage volume;Labor duration;The condition of the newborn; | — |
Countries
China
Contacts
Public ContactXiangnan Chen
Guangdong Province Hospital for Women and Children Healthcare
Outcome results
None listed