Deliveries after cesarean birth in two Asian university hospitals |
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Authors: | I C Chi A B Saifuddin D E Gunatilake S L Wallace |
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Affiliation: | 1. International Fertility Research Program, Research Triangle Park, NC 27709 USA;2. Department of Obstetrics and Gynecology, School of Medicine, University of Indonesia, Jakarta, Indonesia;3. De Soysa Hospital for Women, Colombo, Sri Lanka |
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Abstract: | The task force of the consensus conference on cesarean birth of the National Institutes of Health, USA, has recommended substituting a trial of labor and vaginal delivery for elective repeat cesarean section in selected women. This paper assesses the benefits and risks associated with that recommendation using data from two Asian teaching hospitals, one in Jakarta, Indonesia and the other in Colombo, Sri Lanka. Data recorded on the Maternity Record Form designed by the International Fertility Research Program and the International Federation of Gynecology and Obstetrics were used for analysis. Consistent findings were derived from the two hospitals, in spite of the different medical care delivery systems in their countries. No significant increase in maternal and infant mortality and morbidity were associated with women having vaginal delivery subsequent to cesarean birth as compared to those with repeat cesarean section. Savings in medical cost were considerable in the former group. |
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Keywords: | Cesarean birth Trial of labor and vaginal delivery Elective repeat C-section Analysis of risks Maternal and infant mortality Consensus conference Ante-, intra- and postpartum information Maternity Record of one sheet Monitoring institutional maternity care Standard analysis tables |
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