Safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulum
Objective Literature on trial of labor after cesarean section (TOLAC) in women with isthmoceles is scarce because of complications associated with the procedure. This study investigated TOLAC's safety and feasibility in patients with isthmoceles. Methods The study group comprised 34 pregnant wo...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-09-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060520954993 |
| _version_ | 1819030566634258432 |
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| author | Xiuqiong Zheng Jianying Yan Zhaozhen Liu Xuechun Wang Rongli Xu Liying Li Zhi Lin Lianghui Zheng Min Liu Yan Chen |
| author_facet | Xiuqiong Zheng Jianying Yan Zhaozhen Liu Xuechun Wang Rongli Xu Liying Li Zhi Lin Lianghui Zheng Min Liu Yan Chen |
| author_sort | Xiuqiong Zheng |
| collection | DOAJ |
| description | Objective Literature on trial of labor after cesarean section (TOLAC) in women with isthmoceles is scarce because of complications associated with the procedure. This study investigated TOLAC's safety and feasibility in patients with isthmoceles. Methods The study group comprised 34 pregnant women with isthmoceles who vaginally delivered. The control group comprised 102 pregnant women without isthmoceles who vaginally delivered during the same period. Scar diverticula were measured using color Doppler ultrasonography; between-group delivery outcomes were compared. Results Of the study group patients, 27/34 had isthmoceles diagnosed by ultrasound before pregnancy. Nineteen (70.37%) of these patients had mild defects and eight (29.63%) had moderate defects. The scar diverticula's mean length, depth, and width were 1.05 ± 0.62, 0.54 ± 0.28, and 1.20 ± 0.70 cm, respectively. The residual muscle layer's mean thickness was 0.27 ± 0.07 cm. The mean diverticulum depth/residual muscular thickness ratio was 2.39 ± 2.58. The duration of the first stage of labor was significantly shorter and the neonatal weight was significantly lower in the study group than control group. Conclusion Successful vaginal delivery is possible for women with mild and moderate isthmoceles. Further large-scale studies are needed to improve TOLAC's safety in pregnant women with isthmoceles. |
| first_indexed | 2024-12-21T06:32:12Z |
| format | Article |
| id | doaj.art-cc092e8253aa44cbb1f773b42840025e |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-21T06:32:12Z |
| publishDate | 2020-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-cc092e8253aa44cbb1f773b42840025e2022-12-21T19:12:59ZengSAGE PublishingJournal of International Medical Research1473-23002020-09-014810.1177/0300060520954993Safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulumXiuqiong ZhengJianying YanZhaozhen LiuXuechun WangRongli XuLiying LiZhi LinLianghui ZhengMin LiuYan ChenObjective Literature on trial of labor after cesarean section (TOLAC) in women with isthmoceles is scarce because of complications associated with the procedure. This study investigated TOLAC's safety and feasibility in patients with isthmoceles. Methods The study group comprised 34 pregnant women with isthmoceles who vaginally delivered. The control group comprised 102 pregnant women without isthmoceles who vaginally delivered during the same period. Scar diverticula were measured using color Doppler ultrasonography; between-group delivery outcomes were compared. Results Of the study group patients, 27/34 had isthmoceles diagnosed by ultrasound before pregnancy. Nineteen (70.37%) of these patients had mild defects and eight (29.63%) had moderate defects. The scar diverticula's mean length, depth, and width were 1.05 ± 0.62, 0.54 ± 0.28, and 1.20 ± 0.70 cm, respectively. The residual muscle layer's mean thickness was 0.27 ± 0.07 cm. The mean diverticulum depth/residual muscular thickness ratio was 2.39 ± 2.58. The duration of the first stage of labor was significantly shorter and the neonatal weight was significantly lower in the study group than control group. Conclusion Successful vaginal delivery is possible for women with mild and moderate isthmoceles. Further large-scale studies are needed to improve TOLAC's safety in pregnant women with isthmoceles.https://doi.org/10.1177/0300060520954993 |
| spellingShingle | Xiuqiong Zheng Jianying Yan Zhaozhen Liu Xuechun Wang Rongli Xu Liying Li Zhi Lin Lianghui Zheng Min Liu Yan Chen Safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulum Journal of International Medical Research |
| title | Safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulum |
| title_full | Safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulum |
| title_fullStr | Safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulum |
| title_full_unstemmed | Safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulum |
| title_short | Safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulum |
| title_sort | safety and feasibility of trial of labor in pregnant women with cesarean scar diverticulum |
| url | https://doi.org/10.1177/0300060520954993 |
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