Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohort
Abstract Background Few studies have focused on the delivery subsequent to a failed vacuum delivery (failed-VD) in secundiparas. The objective of the current study was to examine the factors associated with a vaginal delivery following a failed-VD. Methods An historical prospective cohort. Obstetric...
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| Format: | Article |
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BMC
2022-11-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-022-05151-7 |
| _version_ | 1798044319503876096 |
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| author | Orna Reichman Zvi Ehrlich Ramy Suday Hen Sela Gila Gold Arnon Samueloff Sorina Grisaru-Granovsky |
| author_facet | Orna Reichman Zvi Ehrlich Ramy Suday Hen Sela Gila Gold Arnon Samueloff Sorina Grisaru-Granovsky |
| author_sort | Orna Reichman |
| collection | DOAJ |
| description | Abstract Background Few studies have focused on the delivery subsequent to a failed vacuum delivery (failed-VD) in secundiparas. The objective of the current study was to examine the factors associated with a vaginal delivery following a failed-VD. Methods An historical prospective cohort. Obstetric characteristics of secundiparas who underwent a planned caesarean delivery (CD) were compared to those who elected a trial of labour (TOLAC) at single medical-centre, throughout 2006–2019. The latter were further analysed to study for factures associated with successful vaginal birth (VBAC). Results Among the 115 secundiparas included, 89 (77%) underwent TOLAC. Compared to women who underwent an elective CD, those who underwent TOLAC were younger by a mean of 4 years, were more likely to have conceived spontaneously, and had a more advanced gestation by a mean of 10 days. VBAC was achieved in 62 women (70%). New-borns of women with VBAC had in average a lower birth weight compared to those with failed TOLAC, (-)195 g ± 396 g versus ( +)197 g ± 454 g respectively, P < 0.01. Having a higher neonatal birthweight at P2 by increments of 500 g, 400 g or 300 g was associated with a failed TOLAC; OR of 9.7 (95%CI; 2.3, 40.0), 11.5 (95%CI; 2.8, 46.7) and 4.5 (95%CI; 1.4, 13.9), respectively. Conclusions Among secundiparas with a previous CD due to a failed-VD, the absolute difference of neonatal BW was found to be significantly associated with achieving VBAC. |
| first_indexed | 2024-04-11T23:01:59Z |
| format | Article |
| id | doaj.art-987d91da64534f3092f7032dac1f2e11 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T23:01:59Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-987d91da64534f3092f7032dac1f2e112022-12-22T03:58:07ZengBMCBMC Pregnancy and Childbirth1471-23932022-11-012211810.1186/s12884-022-05151-7Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohortOrna Reichman0Zvi Ehrlich1Ramy Suday2Hen Sela3Gila Gold4Arnon Samueloff5Sorina Grisaru-Granovsky6Department of Obstetrics and Gynaecology, Shaare Zedek Medical Centre, Hebrew UniversityDepartment of Obstetrics and Gynaecology, Shaare Zedek Medical Centre, Hebrew UniversityDepartment of Obstetrics and Gynaecology, Shaare Zedek Medical Centre, Hebrew UniversityDepartment of Obstetrics and Gynaecology, Shaare Zedek Medical Centre, Hebrew UniversityDepartment of Obstetrics and Gynaecology, Shaare Zedek Medical Centre, Hebrew UniversityDepartment of Obstetrics and Gynaecology, Shaare Zedek Medical Centre, Hebrew UniversityDepartment of Obstetrics and Gynaecology, Shaare Zedek Medical Centre, Hebrew UniversityAbstract Background Few studies have focused on the delivery subsequent to a failed vacuum delivery (failed-VD) in secundiparas. The objective of the current study was to examine the factors associated with a vaginal delivery following a failed-VD. Methods An historical prospective cohort. Obstetric characteristics of secundiparas who underwent a planned caesarean delivery (CD) were compared to those who elected a trial of labour (TOLAC) at single medical-centre, throughout 2006–2019. The latter were further analysed to study for factures associated with successful vaginal birth (VBAC). Results Among the 115 secundiparas included, 89 (77%) underwent TOLAC. Compared to women who underwent an elective CD, those who underwent TOLAC were younger by a mean of 4 years, were more likely to have conceived spontaneously, and had a more advanced gestation by a mean of 10 days. VBAC was achieved in 62 women (70%). New-borns of women with VBAC had in average a lower birth weight compared to those with failed TOLAC, (-)195 g ± 396 g versus ( +)197 g ± 454 g respectively, P < 0.01. Having a higher neonatal birthweight at P2 by increments of 500 g, 400 g or 300 g was associated with a failed TOLAC; OR of 9.7 (95%CI; 2.3, 40.0), 11.5 (95%CI; 2.8, 46.7) and 4.5 (95%CI; 1.4, 13.9), respectively. Conclusions Among secundiparas with a previous CD due to a failed-VD, the absolute difference of neonatal BW was found to be significantly associated with achieving VBAC.https://doi.org/10.1186/s12884-022-05151-7Failed vacuum-deliveryTOLACVBACBirthweight |
| spellingShingle | Orna Reichman Zvi Ehrlich Ramy Suday Hen Sela Gila Gold Arnon Samueloff Sorina Grisaru-Granovsky Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohort BMC Pregnancy and Childbirth Failed vacuum-delivery TOLAC VBAC Birthweight |
| title | Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohort |
| title_full | Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohort |
| title_fullStr | Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohort |
| title_full_unstemmed | Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohort |
| title_short | Secundiparas following a failed vacuum delivery—factors associated with a successful vaginal delivery: a historical prospective cohort |
| title_sort | secundiparas following a failed vacuum delivery factors associated with a successful vaginal delivery a historical prospective cohort |
| topic | Failed vacuum-delivery TOLAC VBAC Birthweight |
| url | https://doi.org/10.1186/s12884-022-05151-7 |
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