Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success / Parto tras cesárea anterior: análisis de la morbimortalidad materno-fetal
Rev. chil. obstet. ginecol. (En línea)
; 87(6): 388-395, dic. 2022. tab
Article
in English
| LILACS
| ID: biblio-1423749
Responsible library:
CL126.2
RESUMEN
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 andmethods:
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.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Vaginal Birth after Cesarean
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
Rev. chil. obstet. ginecol. (En línea)
Journal subject:
Ginecologia
/
Obstetr¡cia
Year:
2022
Document type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Hospital Juan Ramon Jiménez/ES
/
Hospital Universitario Valme/ES