"Vaginal Birth following 2
caesarean sections" V.K.Garg, E.N. Ekuma-Nkama. International journal of
Gynaecology and Obstetrics (Jan.2005) 88, 53-54.
"205 women with 2 previous
sections, delivered vaginally between 1997 & 2002 . 66 Vaginally (32.2%), 71
had elective C/S (34.6%), 68 had emergency C/S....Induction or augmentation of
labour was not offered due to increased incidence of uterine rupture. . The
complication rate was higher in the C/S group than in the VBAC2 group(19.5% v
7.4%) mean blood loss was higher in the C/S group than the vaginal group. There
was no scar dehiscence or hysterectomy in either group. ......Thus,
VBAC2 is reasonable and is sucessful with minimal complications
if patient selection and labour management is judicious."
