A retrospective survey of patients with one previous caesarean section delivered at the Port Moresby General Hospital: a comparative study of those delivered vaginally and those delivered by repeat caesarean section
- Author:
A. B. Amoa
;
C. A. Klufio
;
S. Wat
;
G. Kariwiga
;
A. Mathias
- Publication Type:Journal Article
- MeSH:
Cesarean Section / statistics & numerical data Data Collection Delivery, Obstetric - methods Delivery, Obstetric - statistics & numerical data;
- From:
Papua New Guinea medical journal
1997;40(3-4):127-135
- CountryPapua New Guinea
- Language:English
-
Abstract:
We studied 510 patients in a retrospective, nonrandomized, comparative survey of vaginal births and repeat caesarean section after one primary caesarean section at the Port Moresby General Hospital. 478 (94%) were allowed a trial of scar (TOS). The most common indications for elective caesarean section in the other 32 patients were cephalopelvic disproportion (CPD) 31%, contracted pelvis 19% and preeclampsia 12.5%. In 41% of patients TOS was terminated by emergency caesarean section. Logistic regression analysis showed that the following were significantly associated with repeat caesarean section after TOS: parity of one, no vaginal birth after the primary caesarean section, narrow obstetric conjugate, birthweight of 2500 g or greater, short stature, high level of the head at admission to the labour ward and region of origin.
