CONTENTS

COVER
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i
CONTENTS
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ii
TABLES
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iv
FIGURES
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v
CHAPTER
I
INTRODUCTION
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1
CHAPTER
II
LITERATURE
REVIEW
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3
2.1
Definition
...............................................................................................................................
3
2.2
General
Considerations
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5
2.2.1
The
Previous
Cesarean
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6

ii

2.2.2
Current
Pregnancy
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7
2.2.3
Other
Medical
or
Surgical
Problems
........................................................................................................................
7
2.3
Complications
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8
2.3.1
Maternal
Complications
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11
2.3.2
Fetal/Neonatal
Complications
........................................................................................................................
12
2.4
Contraindications
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13
2.5 Successful TOLVBAC: rates and factors affecting rates of success
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14
2.5.1
Prior
vaginal
delivery
after
cesarean
delivery
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14
2.5.2
Prior
indication
........................................................................................................................
15
2.5.3

Number

Of

Prior

iii

Cesarean

Deliveries

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15
2.5.4
Maternal
obesity
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15
2.5.5
Fetal
macrosomia
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16
2.5.6
Cervical
status
........................................................................................................................
16
2.5.7.Post
Dates
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17
2.5.8
Uterine
Scar
Type
........................................................................................................................
17
2.5.9
Maternal
Age
........................................................................................................................
18
2.5.10
Multiple
Gestations
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18
2.5.11
Interdelivery
Interval
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18
2.5.12

Preterm

iv

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18
2.6
Management
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19
CHAPTER
III
DISCUSSION
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24
3.1 The Risks And Benefits Of VBAC When Planning The Birth
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16
CHAPTER
IV
SUMMARY
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31
REFERENCES
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32