Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success
Objective: Determining the appropriate approach for delivery after previous cesarean is a very controversial issue. Our objective was to establish whether pregnant women with a previous cesarean have an increased maternal and fetal morbidity and mortality after attempting vaginal delivery as well as...
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| Format: | Article |
| Language: | English |
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Permanyer
2022-01-01
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| Series: | Revista Chilena de Obstetricia y Ginecología |
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| Online Access: | https://www.rechog.com/frame_esp.php?id=125 |
| _version_ | 1811173552401940480 |
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| author | Rocio Garcia-Jimenez Irene Valero Ana M. Weber-Fernandez Natalia Florez Irene Martinez-Aguado Carlota Borrero |
| author_facet | Rocio Garcia-Jimenez Irene Valero Ana M. Weber-Fernandez Natalia Florez Irene Martinez-Aguado Carlota Borrero |
| author_sort | Rocio Garcia-Jimenez |
| collection | DOAJ |
| description | Objective: Determining the appropriate approach for delivery after previous cesarean is a very controversial issue. Our objective was to establish whether pregnant women with a previous cesarean have an increased maternal and fetal morbidity and mortality after attempting vaginal delivery as well as to determine which factors may influence the achievement of a vaginal birth after cesarean. Materials and methods: A retrospective observational cohort study including 390 patients (196 cesarean group and 194 nulliparous group) was carried out. We compared neonatal and maternal outcomes between groups. Afterward, a multivariate logistic regression was applied for our second objective. Results: There were higher rates of uterine rupture (2% vs. 0%, p: 0.045) and puerperal hemorrhage (9.7% vs. 3.1%, p: 0.008) in the cesarean group and lower vaginal delivery rate (58.2% vs. 77.8%, p < 0.0005). We found that the induced onset of labor (OR = 2.9) and new born weight (OR = 1.0001) were associated with an increased risk of cesarean section. Conclusions: Our findings stress the need for further investigations in this field, which might provide a basis for a better management of patients with a previous cesarean.
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| first_indexed | 2024-04-10T17:48:51Z |
| format | Article |
| id | doaj.art-944515dce4e4454c9c9b4e7f8f4d39aa |
| institution | Directory Open Access Journal |
| issn | 0717-7526 |
| language | English |
| last_indexed | 2024-04-10T17:48:51Z |
| publishDate | 2022-01-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Revista Chilena de Obstetricia y Ginecología |
| spelling | doaj.art-944515dce4e4454c9c9b4e7f8f4d39aa2023-02-03T03:13:48ZengPermanyerRevista Chilena de Obstetricia y Ginecología0717-75262022-01-0187610.24875/RECHOG.22000080Attempted vaginal birth after cesarean: assessment of morbidity and predictors of successRocio Garcia-Jimenez0Irene Valero1Ana M. Weber-Fernandez2Natalia Florez3Irene Martinez-Aguado4Carlota Borrero5Department of Obstetrics and Gynecology, Hospital Juan Ramon Jiménez, Huelva, Seville, SpainDepartment of Obstetrics and Gynecology, Hospital Juan Ramon Jiménez, Huelva, Seville, SpainDepartment of Obstetrics and Gynecology, Hospital Juan Ramon Jiménez, Huelva, Seville, SpainDepartment of Obstetrics and Gynecology, Hospital Universitario Valme. Seville, SpainDepartment of Obstetrics and Gynecology, Hospital Universitario Valme. Seville, SpainDepartment of Obstetrics and Gynecology, Hospital Universitario Valme. Seville, SpainObjective: Determining the appropriate approach for delivery after previous cesarean is a very controversial issue. Our objective was to establish whether pregnant women with a previous cesarean have an increased maternal and fetal morbidity and mortality after attempting vaginal delivery as well as to determine which factors may influence the achievement of a vaginal birth after cesarean. Materials and methods: A retrospective observational cohort study including 390 patients (196 cesarean group and 194 nulliparous group) was carried out. We compared neonatal and maternal outcomes between groups. Afterward, a multivariate logistic regression was applied for our second objective. Results: There were higher rates of uterine rupture (2% vs. 0%, p: 0.045) and puerperal hemorrhage (9.7% vs. 3.1%, p: 0.008) in the cesarean group and lower vaginal delivery rate (58.2% vs. 77.8%, p < 0.0005). We found that the induced onset of labor (OR = 2.9) and new born weight (OR = 1.0001) were associated with an increased risk of cesarean section. Conclusions: Our findings stress the need for further investigations in this field, which might provide a basis for a better management of patients with a previous cesarean. https://www.rechog.com/frame_esp.php?id=125Vaginal births after cesarean. Repeat cesarean section. Maternal mortality. Neonatal mortality. Obstetric delivery. |
| spellingShingle | Rocio Garcia-Jimenez Irene Valero Ana M. Weber-Fernandez Natalia Florez Irene Martinez-Aguado Carlota Borrero Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success Revista Chilena de Obstetricia y Ginecología Vaginal births after cesarean. Repeat cesarean section. Maternal mortality. Neonatal mortality. Obstetric delivery. |
| title | Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success |
| title_full | Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success |
| title_fullStr | Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success |
| title_full_unstemmed | Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success |
| title_short | Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success |
| title_sort | attempted vaginal birth after cesarean assessment of morbidity and predictors of success |
| topic | Vaginal births after cesarean. Repeat cesarean section. Maternal mortality. Neonatal mortality. Obstetric delivery. |
| url | https://www.rechog.com/frame_esp.php?id=125 |
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