Authors response to: Vaginal birth after caesarean section versus elective repeat caesarean section: assess neonatal downstream outcomes too

Paré, Emmanuelle; Quiñones, Joanne N.; Macones, George A.

doi:10.1111/j.1471-0528.2006.00982.x

Cited by 2 publications

(2 citation statements)

References 4 publications

(4 reference statements)

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“…Faced with choosing an intended route of delivery after a low-transverse caesarean section, women must choose between an elective caesarean section, with increased maternal morbidity on the short term and more long-term reproductive consequences [ 6 , 31 ] and TOL, which involves a concurrent higher risk of uterine rupture. In order to make an informed decision, pregnant women with a previous caesarean delivery must be made aware of this risk of uterine rupture.…”

Section: Discussionmentioning

confidence: 99%

Risk of uterine rupture in women undergoing trial of labour with a history of both a caesarean section and a vaginal delivery

Lau

Gremmels

Schuitemaker

et al. 2011

Arch Gynecol Obstet

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PurposeTo determine the risk of uterine rupture for women undergoing trial of labour (TOL) with both a prior caesarean section (CS) and a vaginal delivery.MethodsA systematic literature search was performed using keywords for CS and uterine rupture. The results were critically appraised and the data from relevant and valid articles were extracted. Odds ratios were calculated and a pooled estimate was determined using the Mantel–Haenszel method.ResultsFive studies were used for final analysis. Three studies showed a significant risk reduction for women with both a previous CS and a prior vaginal delivery (PVD) compared to women with a previous CS only, and two studies showed a trend towards risk reduction. The absolute risk of uterine rupture with a prior vaginal delivery varied from 0.17 to 0.46%. The overall odds ratio for PVD was 0.39 (95% CI 0.29–0.52, P < 0.00001).ConclusionWomen with a history of both a CS and vaginal delivery are at decreased risk of uterine rupture when undergoing TOL compared with women who have only had a CS.

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Section: Discussionmentioning

confidence: 99%

Risk of uterine rupture in women undergoing trial of labour with a history of both a caesarean section and a vaginal delivery

Lau

Gremmels

Schuitemaker

et al. 2011

Arch Gynecol Obstet

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“…The reason being, a failed VBAC increases the risk of maternal and perinatal complications more than elective repeat Cesarean section 6 . These complications can be reduced by selecting patients for TOLAC more vigilantly 7 because unsuccessful TOLAC are more closely linked with associated complications like uterine rupture, postpartum hemorrhage, fetal and major maternal morbidities 8,9 , multiple cesarean deliveries that will increase the incidence of complicated surgeries, placenta previa, bladder injuries, morbidly adherent placenta and increased hysterectomy rates 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Frequency of Caesarean Section in patients undergoing trial of Labor after Caesarean Section (TOLAC)

Farooq¹,

Habib²,

Dilpazeer³

et al. 2022

PJMHS

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Aim: To estimate the rate of C-section in patients undergoing TOLAC (trial of labour after cesarean section). Study design: Descriptive case series. Place and duration of study: Department of Obstetrics & Gynecology Ward, Ayub Teaching Hospital Abbottabad from 1st October 2020 to 1st April 2021. Methodology: One hundred and fifty-seven pregnant women with previous one caesarean section were included in the study. Basic demographics like age, gestational age, parity and weight were recorded. Results: The mean age was 28.09±5.37 years, mean gestational age was 37.79±2.36 weeks, mean weight 68.66±5.49 Kg, mean height 1.65±0.04 meters, mean BMI 25.11±2.77 Kg/m2 and mean estimated fetal weight was 2.95±0.55 kg. Caesarean section was observed in 84.1% patients. Conclusion: Unsuccessful TOLAC was higher in women admitted with history of previous caesarean section. Keywords: Caesarean section, Trial of labor after caesarean section, Unsuccessful

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Authors response to: Vaginal birth after caesarean section versus elective repeat caesarean section: assess neonatal downstream outcomes too

Cited by 2 publications

References 4 publications

Risk of uterine rupture in women undergoing trial of labour with a history of both a caesarean section and a vaginal delivery

Risk of uterine rupture in women undergoing trial of labour with a history of both a caesarean section and a vaginal delivery

Frequency of Caesarean Section in patients undergoing trial of Labor after Caesarean Section (TOLAC)

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