Retrospective study of 1045 pregnant women with one previous cesarean section attended at the Maternal Perinatal Intitute from january 1 through December 3l, 1992. Patients were divided in two groups according to achievement of vaginal delivery or repeat cesarean section, vaginal delivery was obtained in 80% of 561 patients allowed labor. Instrument delivery occured in two patients. Repeat cesarean section was performed either because of absolute obstetrical indication in 475patients (76,7>%) or due to the obstetrician´s criteria in 121 patients (20,3%). Main indication of cesarean section inpatients who jailed trial of labor was fetal distress (44%). Uterine wound dehiscence was found in 1,53%. Placental complications included placenta accreta and placenta previa in 0,29% and 1,44 respectively. There were no maternal deaths. More puerperal morbidity and more days of hospitalization wer...

Thirty years experience with eclampsia at Hospital Nacional Edgardo Rebagliati Martis is reviewed. Incidence was 0,038%, unchanged in the past 25 years. In most cases, neither past history not obstetrical or blood pressure characteristics led to the suspicion of this seriuos complication. It is necessary to have a high index of suspicion in women with high blood pressure acceleratio, epigastric pain, visual alterations, headache and anxiety. Delivery has to be as soon as treatment for convultions has been started. Maternal mortality was 18,94% and perinatal mortality 17,7%, rates that should determine future attitudes at our institution to improve them.

Thirty years experience with eclampsia at Hospital Nacional Edgardo Rebagliati Martis is reviewed. Incidence was 0,038%, unchanged in the past 25 years. In most cases, neither past history not obstetrical or blood pressure characteristics led to the suspicion of this seriuos complication. It is necessary to have a high index of suspicion in women with high blood pressure acceleratio, epigastric pain, visual alterations, headache and anxiety. Delivery has to be as soon as treatment for convultions has been started. Maternal mortality was 18,94% and perinatal mortality 17,7%, rates that should determine future attitudes at our institution to improve them.