Prospective comparison of delivery outcomes of vaginal births after cesarean section versus laparoscopic myomectomy.

AIM: This study was designed to assess the delivery outcomes of vaginal birth after cesarean section in comparison with delivery after laparoscopic myomectomy.

METHODS

The following data were collected: the proportion of patients who attempted vaginal birth, success rate, maternal age, previous number of vaginal deliveries, gestational weeks, birthweight, Apgar score, umbilical blood pH, and duration of labor in cases with a successful vaginal birth.

RESULTS

The proportion of patients who attempted the vaginal birth differed significantly between the two groups (P < 0.0001). There were no significant differences in success rate, maternal age, number of previous vaginal deliveries, gestational weeks, birthweight, Apgar score or umbilical blood pH, although the mean duration of labor differed significantly (P = 0.006).

CONCLUSIONS

The present investigation confirmed that vaginal birth after laparoscopic myomectomy is as safe as vaginal birth after cesarean section.