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This study was undertaken to determine the risk of uterine rupture in patients induced with oxytocin or misoprostol after 1 or more previous cesarean sections.
All participating women had one or more previous cesarean deliveries and were diagnosed with placenta previa and/or placenta previa accreta.
All participating women had one or more previous cesarean deliveries and were diagnosed with placenta previa and/ or placenta previa accreta by ultrasound.
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However, the previous cesarean group was more likely than the unscarred group to have blood loss >500 mL (38% vs 22%; P <.03).
Although the incidences of fetal distress were similar, neonates born to women in the previous cesarean group were more likely to have an Apgar score <7 at 5 minutes (13% vs 5%; P <.04).
The purpose of this study was to determine whether breech presentation at term is more common among women with at least 1 previous cesarean delivery.
Evidence also suggests that attempted vaginal delivery (i.e., trial of labor) is a more cost-effective option for women with a previous cesarean than an elective repeat cesarean delivery, although its cost-effectiveness depends on the probability of successful vaginal delivery [14].
Improved algorithms are needed to more precisely estimate the likelihood that a patient with a previous cesarean will have a successful vaginal delivery.
It was assumed that this was the reason that the patient had her previous cesarean section performed under general anesthesia and no more details concerning the choice of anesthetic were explored.
The cesarean delivery rate was also lower in the exercising group as compared to the non-exercising group (8.3 vs. 21.2 %), probably because of more multiparous women in the latter group requiring repeat cesarean section after a previous cesarean.
Though previous cesarean delivery is not a necessary medical indication for cesarean delivery, more than 95% of women opted for a cesarean section after a previous cesarean delivery in Taiwan [ 15].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com