Trial of labor in women with a previous one cesarean section at Benha University Hospital

Abstract

During the past two decades, there has been a dramatic increase in the cesarean birth rate within a generation, .cesarean delivery rate had been increased from a rate of ( 1 in 50 births in •' 1970) to nearly (I in 4 births today) (Hamilton et at., 1993).

"Once a cesarean section, always a cesarean section" was first; proposed as clinical dictum by Cragin (1916). This dictum dates back to an era when most cesarean sections involved classical uterine incisions, and when antibiotics and transfusion were unknown (,4cher eta[., 1999).

Now due to changes. in the type of uterine incision, being mostly lower segment transverse incision, combined with the • advantages in. technology which allows continuous and accurate monitoring of the mother as well as the fetus, it is widely accepted that an attempt of vaginal delivery should be made unless there are . other indications for abdominal delivery (Bivins and Galiup, 2000).

The aim of the study was:

- To review the trends in the frequency of CS births.

- To revtew the trends in the trial of hibor (TOL) as an alternative to repeat CS.

- To do re,trospective study among those females underwent trial of

•labor after previous one CS aiming to evaluate TOL.