Clinical interventions that influence vaginal birth after cesarean delivery rates: Systematic Review &amp; Meta-Analysis

Wingert, Aireen; Hartling, Lisa; Sebastianski, Meghan; Johnson, Cydney; Featherstone, Robin; Vandermeer, Ben; Wilson, R. Douglas

doi:10.1186/s12884-019-2689-5

Cited by 31 publications

(26 citation statements)

References 64 publications

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“…Moreover, a policy of VBAC after two cesareans (VBA2C) is at least theoretically related to a reduction in the overall rate of cesarean deliveries at a population level. 17,18 To date, very few studies have tried to provide comparative data between TOLA2C and elective repeated cesarean, and the choice between the two possibilities is not evidence based. 19,20 The aim of the present study is to investigate the maternal and neonatal outcomes of TOLA2C compared with elective repeated cesarean delivery (ERCD) in patients with two previous cesarean deliveries.…”

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confidence: 99%

Vaginal Birth after Two Previous Cesarean Sections versus Elective Repeated Cesarean: A Retrospective Study

et al. 2020

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Objective Trial of labor after cesarean delivery (TOLAC) is a common practice worldwide but the evidence is still scant regarding this practice in women who underwent 2 previous cesareans. The purpose of this study is to retrospectively review our experience with vaginal birth after two previous cesarean sections (VBA2C), with specific attention to the indications for previous cesarean and to the women's motivation for attempting trial of labor. Study Design This was a retrospective cohort study conducted in a primary care hospital between January 2011 and December 2019. Inclusion criteria were: singleton pregnancies, absence of morphological abnormalities at ultrasonographic screening of the second trimester (or at any other stage of pregnancy), and two previous cesarean sections. Results The final analysis included 114 cases for maternal and neonatal outcomes. In total, 40.4% of women chose trial of labor after two cesarean delivery (TOLA2C group). TOLA2C was associated with a success rate of 76.1%, a higher gestational age at birth, and a shorter hospital stay, compared with elective repeated cesarean delivery group. There were no significant differences in the rate of Apgar scores at 5 minutes <7 between both groups. The percentage of successful TOLA2C in women with prior vaginal delivery was 92.8%. Factors related to failed TOLA2C included failure to progress (3/11, 27.3%), nonreassuring fetal heart rate (3/11, 27.3%), and no onset of spontaneous labor after premature rupture of membranes (5/11, 45.4%). In the group of TOLA2C, more than 70% accepted to travel more than 45 minutes to reach our hospital, with the aim to attempt VBA2C. Conclusion TOLA2C is a possible option for both mothers and neonates in selected cases. Adequate counseling about pros and cons of TOLA2C is mandatory. The woman's motivation represents a key element to determine the success of VBA2C. Key Points

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confidence: 99%

Vaginal Birth after Two Previous Cesarean Sections versus Elective Repeated Cesarean: A Retrospective Study

et al. 2020

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“…Thus, their decision in the correct selection of candidates should then be in uenced. The higher rates of TOLAC and VBAC will be then observed in mothers and increased in association with certain interventions and practitioner characteristics as thought by Wingert A et al [5].…”

Section: Discussionmentioning

confidence: 90%

“…The WHO states that, once the rate of cesarean increases by 10% , the bene ts for maternal morbidity and mortality does not change, making it important to identify the best possible candidates for TOLAC and subsequent VBAC [2]. It's well established that successful VBAC is associated with the decrease of maternal and neonatal morbidities and in the subsequent pregnancy than a repeat CS [2,[3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the success of trial of labor after one previous caesarean section in a secure inter-delivery interval at Panzi Hospital.

Maroyi¹,

Bahaya²,

Ingersoll³

et al. 2021

Preprint

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Background: In middle- and low-income countries, the inter-delivery interval is an important parameter considered in the decision of TOLAC. The objective of this study is to determine influencing factors for success of trial of labor after cesarean in women with secure inter-delivery interval after a cesarean-section at a referral hospital.Methods: A cross-sectional study was conducted at Panzi hospital on 231 cases in one year period. Women with one previous cesarean section, an inter-delivery interval space at least 18 months and no contracted pelvis were included. A successful TOLAC was defined as vaginal delivery and failed if cesarean section after trial of labor. Chi-square univariate testing and multi-variate logistic regression were used to understand the relationship between influencing factors the recorded variables and successful TOLAC, with a significance threshold of 5%.Results : 57.6% (133 cases) successfully completed TOLAC with vaginal delivery. Many obstetric factors have a significant effect on success of TOLAC. middle cervix was likely to increase success of TOLAC by 61.50 times (OR=61.50, p-value=0.000). Cervical softening was likely to increase success of TOLAC by 5.96 times (OR=5.96, p-value=0.001). Active labor was likely to increase success of TOLAC by 7.79 times (OR=7.79, p-value=0.013). Uterine height also has a significant effect such that every centimeter increase in uterine height decreased likelihood of successful TOLAC by about half (OR= 0.62, p-value=0.000). Every unit increase in Apgar score in the 1st minute after birth increased likelihood of successful TOLAC by 1.71 times (OR=1.71, p-value=0.010). For every increase in parity, the likelihood of successful TOLAC increases by 1.30 (OR=1.30, p-value=0.031). The remaining obstetric factors in the model had no significant effect on success of TOLAC. Conclusions: Our study shows that within a secure inter-delivery interval, high parity, uterine height less than 34 cm, active labor and cervical parameters such as cervical softening and middle cervix are important contributing factors to the success of TOLAC and VBAC. These factors should be considered by practitioners to influence their decision making regarding TOLAC.

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“…Abdulrahman et al (2019) conclude that the CS levels in the United Arab Emirates (UAE) is above the global average and the average in Asia. Based on literature body Wingert et al (2019), many countries in which more than half of the births were in the caesarean section whereas in Egypt it is 55.5% in 2014, Brazil 55.5% in 2015, Turkey 53.1% in 2015, and Venezuela 52.4% in 2013 (Betran et al, 2016). empowerment to make her decision regarding her body, and the impact of both vaginal birth and caesarian section delivery on their body and sexual functions.…”

Section: Introductionmentioning

confidence: 99%

Elective Cesarean Birth: Pros and Cons

Alshdefat¹,

Alshdaifat²

2020

MJN

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One of the women's rights and autonomy are to choose the mode of delivery. Elective cesarean is one of the delivery methods that the women can choose without medical reasons but will select the method if she is fully aware of the short-term and long-term effects of cesarean section versus vaginal birth. Opinion about the elective cesarean section as a method of delivery describes a combination of women's belief about her right to choose, feelings about vaginal delivery, and women's beliefs about body image. This position statement aims to discuss the issues of elective cesarean birth and the factors that have recently contributed to this debated choice. We must determine the costs, advantages, and liability matters that affect the birth mode recommendations.

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Clinical interventions that influence vaginal birth after cesarean delivery rates: Systematic Review & Meta-Analysis

Cited by 31 publications

References 64 publications

Vaginal Birth after Two Previous Cesarean Sections versus Elective Repeated Cesarean: A Retrospective Study

Vaginal Birth after Two Previous Cesarean Sections versus Elective Repeated Cesarean: A Retrospective Study

Factors influencing the success of trial of labor after one previous caesarean section in a secure inter-delivery interval at Panzi Hospital.

Elective Cesarean Birth: Pros and Cons

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