Membrane Sweeping for Vaginal Birth after Caesarean Section and its Outcome -A Comparative Study

Ramya, V; Ghose, Seetesh; Pallavee, P

doi:10.7860/jcdr/2015/11161.6306

Cited by 9 publications

(20 citation statements)

References 10 publications

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“…Some studies indicated that the caesarean section rate is higher in the private sector as is in our study. 4,6,7,9,16 The vaginal birth after caesarean rate in our study was 16.8% similar to those in the private sector of the same region 7 in contrast to other studies, which had success rates between 60 and 78%. 10,17,18 This is due to a very high rate of repeat caesarean section on maternal request (33.8% -36.07%) in both the studies.…”

Section: Fig 1: Flow Of Study Participantssupporting

confidence: 60%

“…3 Population-based studies from various Indian states also reveal that the caesarean section rate in most Indian states has increased remarkably reaching even up to 53%. [4][5][6][7][8][9] Increasing the rates of vaginal birth after caesarean is as important as reducing the rate of primary caesarean sections in reducing the overall caesarean section rate. Various vaginal birth after caesarean prediction models using data at antenatal visits or at the time of admission have been suggested and validated.…”

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confidence: 99%

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Usefulness of a Simple Prediction Model for Vaginal Birth After Caesarean Section in a Low Resource Setting

Tahmina¹,

Kuruvila²,

Daniel³

2016

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BACKGROUNDThe rising caesarean section rates can be curtailed by increasing the rates of Vaginal Birth After Caesarean (VBAC). Ability to predict vaginal birth after caesarean with certainty may enable better counselling and decision making regarding mode of delivery for pregnant women with a previously scarred uterus. AIMTo assess the accuracy of a simple validated vaginal birth after caesarean score in predicting the mode of delivery in pregnant women with previous one caesarean section. MATERIALS AND METHODSData for all patients who delivered at this institution between November 2011 and October 2013 were reviewed. Data of women who delivered after one caesarean section were analysed and details of the index pregnancy, labour and mode of delivery were noted. A vaginal birth after caesarean prediction model was applied to all women who underwent a Trial of Labour After Caesarean (TOLAC) using data at admission. Women who delivered after two or more caesarean sections were excluded from the study. The primary outcome assessed was the mode of delivery. SETTINGS AND DESIGNRetrospective Cohort study at a 650-bedded tertiary care hospital in South India. STATISTICAL ANALYSISFor categorical variables, data was compiled as frequency and percent. For continuous variables, data was calculated as mean±SD. Performance of the vaginal birth after caesarean score was assessed by receiver operating characteristic curve analysis. RESULTSSix hundred and eighty-seven women were delivered by caesarean section. Among them, 280 women who had a previous caesarean section were included in the study. Vaginal birth after caesarean scores were computed for 82 women who underwent a trial of labour after caesarean. 57.3% had a successful vaginal birth after caesarean and the remaining had a repeat caesarean section after a failed trial of labour. The score performed fairly well with an area under receiver operating characteristic curve of 0.75. CONCLUSIONThe vaginal birth after caesarean score maybe useful tool in counselling eligible women in favour of a trial of labour after caesarean thereby reducing the number of elective repeat caesarean sections. KEYWORDSVaginal Birth After Caesarean, Prediction Score, Trial of Labour, Repeat Caesarean. HOW TO CITE THIS ARTICLE: Tahmina S, Kuruvila SK, Daniel M. Usefulness of a simple prediction model for vaginal birth after caesarean section in a low resource setting.

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Section: Fig 1: Flow Of Study Participantssupporting

confidence: 60%

mentioning

confidence: 99%

Usefulness of a Simple Prediction Model for Vaginal Birth After Caesarean Section in a Low Resource Setting

Tahmina¹,

Kuruvila²,

Daniel³

2016

jebmh

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“… 11 Furthermore, studies have indicated that the rate of operative vaginal delivery with VBAC was 18.5%, and this is consistent with our data. 12 Abnormal fetal heart rate is the most common clinical manifestation of uterine rupture. 13 – 15 The high rates of operative vaginal delivery and PPH with VBAC may be attributed to emergency delivery situations and an abnormal fetal heart rate.…”

Section: Discussionmentioning

confidence: 99%

Intrapartum interventions that affect maternal and neonatal outcomes for vaginal birth after cesarean section

Zhang

2019

J Int Med Res

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Objective To investigate maternal and neonatal outcomes after different intrapartum interventions for vaginal birth after cesarean section (VBAC) in mainland China. Methods A retrospective study was performed on 143 VBAC cases from Beijing Obstetrics and Gynecology Hospital between January 2015 and November 2016. These cases were divided into two groups on the basis of different intrapartum interventions. Maternal and neonatal outcomes were compared. Results The durations of the first stage and total labor after oxytocin were significantly longer than those before oxytocin use. The proportion of operative vaginal delivery with oxytocin was significantly higher than that without oxytocin (43.9% vs. 11.8%). The times of the first stage, second stage, and total labor with analgesia were significantly longer than those without analgesia (548.4±198.1 vs. 341.8±233.0 minutes, 52.0±38.9 vs. 36.0± 29.1 minutes, and 606.3±212.1 vs. 387.3±233.0 minutes, respectively). Postpartum hemorrhage and operative vaginal delivery occurred significantly more frequently in women with epidural analgesia than in those without epidural analgesia (29.7% vs. 12.3 and 35.1% vs. 16.0%, respectively). Conclusions Induction can increase the rate of operative vaginal delivery in VBAC. Oxytocin and epidural analgesia may increase the risk of operative vaginal delivery, and may be associated with a prolonged duration of labor.

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“…Another study reported that 18.5% of the cases investigated underwent operative vaginal delivery with VBAC, which was only slightly smaller than the incidence seen in the current study. [ 14 ] Abnormal FHRs have been reported[ 15 16 17 ] as the most common clinical manifestation of uterine rupture.…”

Section: Discussionmentioning

confidence: 99%

Labor Onset, Oxytocin Use, and Epidural Anesthesia for Vaginal Birth after Cesarean Section and Associated Effects on Maternal and Neonatal Outcomes in a Tertiary Hospital in China

Zhang

2018

Chinese Medical Journal

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Background:In the mainland of China, the trial of labor after cesarean section is still a relatively new technique. In this study, we aimed to investigate the effects of labor onset, oxytocin use, and epidural anesthesia on maternal and neonatal outcomes for vaginal birth after cesarean section (VBAC) in a tertiary hospital in China.Methods:This was a retrospective study carried out on 212 VBAC cases between January 2015 and June 2017 in Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Relevant data were acquired on a form, including maternal age, gravidity and parity, body mass index before pregnancy, weight gain during pregnancy, type of labor onset, gestational age, the use of oxytocin and epidural anesthesia, birth mode, the duration of labor, and neonatal weight. The factors affecting maternal and neonatal outcomes for cases involving VBAC, especially with regards to postpartum hemorrhage (PPH) and fetal distress, were evaluated by univariate analysis and multivariable logistic regression.Results:Data showed that 36 women (17.0%) had postpartum hemorrhage (PPH) and 51 cases (24.1%) featured fetal distress. Normal delivery took place for 163 infants (76.9%) while 49 infants (23.1%) underwent operative vaginal deliveries with forceps. There were 178 cases (84.0%) of spontaneous labor and 34 cases (16.0%) required induction. Oxytocin was used in 54 cases (25.5%) to strengthen uterine contraction, and 65 cases (30.7%) received epidural anesthesia. The rate of normal delivery in cases involving PPH was significantly lower than those without PPH (61.1% vs. 80.1%; χ2 = 6.07, P = 0.01). Multivariate logistic analysis showed that the intrapartum administration of oxytocin (odds ratio [OR] = 2.47; 95% confidence interval [CI] = 1.07–5.74; P = 0.04) and birth mode (OR = 0.40; 95% CI = 0.18–0.87; P = 0.02) was significantly associated with PPH in VBAC cases. Operative vaginal delivery occurred more frequently in the group with fetal distress than the group without (49.0% vs. 14.9%, χ2 = 25.36, P = 0.00). Multivariate logistic analysis also revealed that the duration of total labor (OR = 1.01; 95% CI = 1.00–1.03; P = 0.04) and the gestational week of delivery (OR = 1.08; 95% CI = 1.05–1.11; P = 0.00) were significantly associated with fetal distress in VBAC.Conclusions:The administration of oxytocin during labor and birth was identified as a protective factor for PPH in VBAC while birth mode was identified as a risk factor. Finally, the duration of total labor and the gestational week of delivery were identified as risk factors for fetal distress in cases of VBAC. This information might help obstetricians provide appropriate interventions during labor and birth for VBAC.

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Membrane Sweeping for Vaginal Birth after Caesarean Section and its Outcome -A Comparative Study

Cited by 9 publications

References 10 publications

Usefulness of a Simple Prediction Model for Vaginal Birth After Caesarean Section in a Low Resource Setting

Usefulness of a Simple Prediction Model for Vaginal Birth After Caesarean Section in a Low Resource Setting

Intrapartum interventions that affect maternal and neonatal outcomes for vaginal birth after cesarean section

Labor Onset, Oxytocin Use, and Epidural Anesthesia for Vaginal Birth after Cesarean Section and Associated Effects on Maternal and Neonatal Outcomes in a Tertiary Hospital in China

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