Results of the IMPROVE trial suggest that vaginal administration of misoprostol (25 M9 initial dose, 50 MS subsequent doses) may be superior to the buccal route, with more rapid vaginal delivery
, more vaginal deliveries within 24 hours, and fewer urgent cesareans for nonreassuring fetal testing (although the overall cesarean delivery rate was not significantly different).
This study aimed to perform a cost analysis of hospital care for vaginal delivery
and elective cesarean section for usual risk pregnant women in the SUS perspective.
The researchers found that the rate of spontaneous vaginal delivery
was 85.9 and 86.5 percent in the immediate and delayed groups, respectively, with no significant difference (relative risk, 0.99; 95 percent confidence interval, 0.96 to 1.03).
It is randomized double blind placebo control trial for prevention of primary PPH among women age range of 16 to 42 years, for vaginal delivery
or lower segment caesarean section.
We used forceps for operative vaginal delivery
in accordance with maternal and fetal indications.
Rates of instrumental vaginal delivery
range from 5% to 20% of all births in high income countries.
Among subjects that had vaginal delivery
, there was no statistically significant difference in the rates of instrumental delivery or in the rates of episiotomies (Table 3).
Conclusion: Anal sphincter injuries formed after vaginal delivery
may be one of the reasons that increase the incidence of postmenopausal fecal incontinence and cause the formation of fecal incontinence symptoms in women.
According to the Ministry of Health and Medical Education, Department of Maternal Health, "fear of pain", "lack of tolerance of labor pain", "recommendations of the physician", "misperceptions about type of delivery and its effect on the wellbeing of the fetus and the mother", "fashion and norms", "improper behavior of health personnel in hospital during labor", "fear of adverse effects of vaginal delivery
on anatomy of genital area that affects couple's sexual relations" are among factors and motivations for intention to do cesarean section, voluntarily in Iran (9).
That is why this study is conducted to determine the outcome of pregnancy in women with previous CS in relation to vaginal delivery
, maternal and perinatal complications, to identify the factors which can influence the outcome of trial of vaginal delivery
114 (76%) patients had spontaneous vaginal delivery
, 14 (9%) patients had vacuum vaginal delivery
and 22 (15%) patients had caesarean section.
Results: The findings of the study revealed that 13 percent of the participating women reported that the ideal mode of delivery was cesarean delivery while a great majority (87%) opted for vaginal delivery
. Abou t53% of them stated that they would prefer cesarean section for their next delivery while 47% reported that they would choose vaginal delivery