Hobel, C.J., Lu, M.C. and Gambone, J.C. (2010) A life-course perspective for women’s health care. Safe, ethical and effective practice. In: Gambone, J.C. and Hobel, C.J., Eds., Essentials of obstetrics and gynecology, 5th Edition, Elsevier, Philadelphia, 3-11.

has been cited by the following article:

• TITLE: Optimization of clinical outcome of women with previous one lower segment cesarean section

  AUTHORS: Mamdoh Eskandar, Jameelah Aboud, Majed Alshahrani, Mervat Hassanein, Azza Alyamani

  KEYWORDS: VBAC; TOL; RCS; Pregnancy Outcome

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.2 No.3, September 7, 2012

  ABSTRACT: Background and Objectives: To investigate the outcome in women with planned (VBAC) in comparison to Repeat Cesarean Section (RCS) and to those undergoing vaginal birth. Design and settings: Retrospective study, women with a history of one lower segment cesarean section (LSCS) admitted to Abha General Hospital for delivery from September, 2010 to February, 2011. Subjects and Methods: The demographic maternal and neonatal data and data concerning the course of delivery were reviewed in 418 women underwent trial of labor (TOL) and subjected to statistical analysis to study the predictive factors and outcome. All cases were divided into 3 groups, VBAC group (212 women), RCS group (206 women) and the neonates of the VBAC group were compared to those of a control group consists of 287 neonates who delivered vaginally. Results: The success rate of VBAC was 50.72%, with no uterine rupture or wound dehiscence. Failure to progress was the most common (40.2%) indication of RCS followed by fetal distress (29.9%). Young maternal age (P