Conducción del parto en pacientes con cicatriz de cesárea anterior. Estudio piloto.

Translated title of the contribution: Delivery conduction in patients with cicatrix of a prior cesarean section. Pilot study

J. A. Arraztoa*, L. Jensen, M. Clavero, H. Castillo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


INTRODUCTION: In the clinical practice there is an increasing number of patients with a previous cesarean section. OBJECTIVE: 1. The description of the evolution of patients with previous cesarean section and the possibility of a vaginal delivery. 2. To compare, in patients in labor, a pharmacological approach (ocitocic conduction and peridural anesthesia) vs a spontaneous evolution. METHOD: -a clinical, random and prospective study. We analyze: age, parity, cause of previous cesarean section, obstetrical conditions at the moment of hospitalization, route of delivery, maternal and neonatal complications and days of hospitalization. ANALYSIS: univariable with single frequency and bivariable with contingency table (chi2) and comparison of means (T test). RESULTS: Incoming to the study of 81 cases. Sixteen per cent were operated on without labor. Eighty four per cent (n-68) were separated randomly into two groups: 26 pharmacologically managed and 42, with a spontaneous approach. Within the first group, 84.6% delivered vaginally; the latter group, 88.1%, delivered vaginally. The only variable with a statistically significant difference was the greater cervical dilatation in the spontaneous grop at the moment of hospitalization. CONCLUSION: The probability of vaginal birth after cesarean section is 72.8%, which increases to 86.7% in labor spontaneously initialized. The active management doesn't differ in this study, which has a 10% of power, of spontaneously management.

Translated title of the contributionDelivery conduction in patients with cicatrix of a prior cesarean section. Pilot study
Original languageSpanish
Pages (from-to)95-100; discussion 100-101
JournalRevista chilena de obstetricia y ginecología
Issue number2
StatePublished - 1994
Externally publishedYes


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