A study of the management of pregnancies subsequent to cesarean section

Vaginal birth after classical Caesarean section

“…Browne in Dublin (1951) reported 100 consecutive vaginal deliveries after previous Caesarean section, eight of these followed classical Caesarean section and there were no ruptures, 76 followed lower segment Caesarean sections and there was one rupture, 16 had unknown scars. 10 Also in 1953, Lane and Reid of Boston reported on 246 patients with prior classical Caesarean section who had a subsequent term pregnancy: 155 had repeat Caesarean sections (two dehiscences observed), two ruptured in late pregnancy, one ruptured in labour giving an overall rupture rate of 2%. Hindman quotes various other studies which give figures of between 1.5% and 6% for scar rupture following classical Caesarean section 'with a gener-ally accepted average of 4%'.…”