Correlation Between Previous Caesarean Section and Adverse Maternal Outcomes Accordingly With Robson Classification: Systematic Review and Meta-Analysis

Jamshed, Shazia Qasim; Chien, Shuo-Chen; Tanweer, Afifa; Asdary, Rahma-Novita; Hardhantyo, Muhammad; Greenfield, David; Chien, Chia‐Hui; Weng, Shuen-Fu; Jian, Wen-Shan; Iqbal, Usman

doi:10.3389/fmed.2021.740000

Cited by 3 publications

(1 citation statement)

References 53 publications

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“…Our study indicated that women with ≥ 3 previous vaginal have more chances of successful TOLAC. Similar findings were reported in a study conducted by Trojano et al (Trojano et al, 2019) Bishop Score ≥6 was an independent indicator of successful TOLAC (Jamshed et al, 2022). Different studies have evaluated the effect of neonatal birth weight on TOLSC and found that lower estimated birth weight increases the chances of successful TOLAC (Place et al, 2019).…”

Section: Discussionsupporting

confidence: 86%

Evaluating the Success Rate of Vaginal Delivery After Caesarean Section

MEHWISH

NAFEES

KUNBAHAR³

et al. 2023

Biol Clin Sci Res J

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: The retrospective study was conducted in the Department of Gynecology Dr. Ruth K. M. Pfau Civil Hospital Karachi, from February 2021 to February 2022, for the evaluation of factors associated with the success of TOLAC (trial of labor after cesarean delivery) and to identify variables for predicting the success of TOLAC in subjects with prior Caesarean section (CS). A total of 315 women were included in the study. They were divided into the validation cohort (n=20, 63%) and the training cohort(n=295, 93.6%). The primary endpoint was the success rate of vaginal delivery. The results showed that of 315 participants, 264 (83.8%) women had successful TOLAC and vaginal delivery, and 51 (16.1%) had ERCS. According to multivariate analysis, BMI-estimated birth weight, gestational age <41 weeks, rupture of membranes, and cervix Bishop score ≥5 was significantly associated with the success of TOLAC. Results suggest that TOLAC has a high success rate in women with a history of c-sections.

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Section: Discussionsupporting

confidence: 86%

Evaluating the Success Rate of Vaginal Delivery After Caesarean Section

MEHWISH

NAFEES

KUNBAHAR³

et al. 2023

Biol Clin Sci Res J

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Proportion and associated factors of maternal complications of cesarean sections among mothers who deliver at Bahir Dar City Public Specialized Hospitals, Bahir Dar, Ethiopia

et al. 2023

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Introduction Cesarean delivery carries both short term and long-term maternal complications. Eventhough it’s being a public burden, the proportion of complications and underlying risk factors are not studied well in our setup. This study aimed to assess the proportion and associated factors of complications of cesarean sections among mothers who delivered at Bahir Dar city public specialized hospitals, Bahir Dar, Ethiopia 2021. Methods A cross-sectional study was conducted at two specialized Hospitals in Bahir Dar city, Ethiopia. The sample size was 495 mothers who had cesarean section in the time period from January 1, 2020 to December 30, 2020. Checklist was used to retrieve information from the patient medical document. Study population was selected from the operation registration book. Systematic sampling was used after arranging the study frame based on date of operation. Both bivariable and multivariable logistic regression was done. In multivariable logistic regression variables with p value < 0.05 at 95% confidence interval were significantly associated with outcome variable. Result Overall maternal complication rate was 44.04% (95% CI: 39.6–48.5). Living in rural setting (AOR = 4.247,95%CI: 2.765–6.522), having one or more obstetric complication (AOR = 1.913,95% CI: 1.214–3.015), cesarean section done at Second stage of labor (AOR = 4.358,95%CI: 1.841–10.317), having previous cesarean section (AOR = 3.540,95%CI: 2.121–5.910), emergency operation (AOR = 2.967,95%CI: 1.492–5.901), duration of surgery taking more than 60 min (AOR = 3.476,95%CI: 1.521–7.947) were found to be significantly associated with maternal complications. Conclusion The magnitude of maternal complication of cesarean section was higher than most studies. Living in rural setting, having obstetric complications, previous cesarean scar, emergency surgeries, operation done in second stage of labor and prolonged duration of surgery are important predictors of maternal complication. Therefore, we recommend timely and adequate progress of labor evaluation, timely decision for cesarean delivery and vigilant care in post-operative period shall be conducted.

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Case Series: Uterine Rupture with a Life Baby after Two Previous Caesarean Sections: An Incidental Finding at Elective Caesarean Sections at Term

Asiegbu,

Ugoji,

Asiegbu

et al. 2023

Nigerian Journal of Medicine

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We present three cases of the absence of lower uterine segment (LUS) muscles with a life baby covered by the fetal membrane after two previous caesarean sections (CS) at elective CSs at term. The first case was a 30-year-old booked multipara with bad obstetrics history and two previous CS at a secondary facility on account of unexplained three serial stillbirths at term. There were no histories of maternal obesity, hypertension, or diabetes mellitus. She then had an elective CS at 37 weeks on account of two previous CS. Intraoperatively, it was noted that the LUS was covered by the fetal membranes with visceral peritoneum and no muscle layer. The second case was a 33-year-old booked G4P2 + 1A2 with two previous CSs on account of fetal distress and breech presentation with one previous scar at term, respectively. Pregnancy was uneventful till the presentation. At presentation, there was no history or examination finding suggestive of uterine rupture. She had an elective CS at 39 weeks on account of two previous CS. Intraoperatively, a thin membrane at the LUS with no muscular tissue exposing the fetal membranes was seen, with good fetomaternal outcomes. The third case was a 30-year-old booked G3P2 + 0A2 with two previous elective CSs on account of primigravida with breech presentation and placenta praevia, respectively. The course of the pregnancy was uneventful. At presentation, there was no clinical sign or symptom suggestive of uterine rupture. She had an elective CS at 37 weeks on account of two previous CS. Intraoperatively, a thin membrane at the LUS with visceral peritoneum and no muscular tissue was seen. The pregnancy outcome was favorable. Silent scar rupture as seen in our case series is one of the common complications of previous CS. Early detection with the introduction of imaging techniques, although not done for our cases and prompt intervention reduces morbidity and mortality.

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Correlation Between Previous Caesarean Section and Adverse Maternal Outcomes Accordingly With Robson Classification: Systematic Review and Meta-Analysis

Cited by 3 publications

References 53 publications

Evaluating the Success Rate of Vaginal Delivery After Caesarean Section

Evaluating the Success Rate of Vaginal Delivery After Caesarean Section

Proportion and associated factors of maternal complications of cesarean sections among mothers who deliver at Bahir Dar City Public Specialized Hospitals, Bahir Dar, Ethiopia

Case Series: Uterine Rupture with a Life Baby after Two Previous Caesarean Sections: An Incidental Finding at Elective Caesarean Sections at Term

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