Multiple repeat caesarean section in the <scp>UK</scp>: incidence and consequences to mother and child

Cook, J.; Knight, Marian; Dhanjal, M.

doi:10.1111/1471-0528.12158

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…3 The implications of repeat CD on morbidity are profound and include higher rates of blood transfusions, surgical injuries and hysterectomies, with increased rates of complications as the number of CD increases. 4,5 Therefore, many healthcare organizations try to increase VBAC rates. When consulting a woman regarding the mode of delivery, the risks and benefits of trial of labour after Cesarean (TOLAC) should be discussed, as well.…”

Section: Introductionmentioning

confidence: 99%

Cesarean delivery complicated with peripartum infection increases the risk of uterine rupture during subsequent trial of labour: A retrospective case-control study

Yaniv

Farladansky-Gershnabel

Gluska

et al. 2021

Preprint

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Objective: To evaluate the relation between peripartum infection at first caesarean delivery to uterine dehiscence or rupture at the subsequent delivery. Design: Retrospective case-control study from March 2014 to October 2020. Setting: University-affiliated medical centre. Sample: Women with a prior caesarean delivery and proven dehiscence or uterine rupture diagnosed during their subsequent delivery. The control group included women who had a successful vaginal birth after Cesarean section without evidence of dehiscence or uterine rupture. Methods: We compared the rate of peripartum infection during the first Cesarean delivery and other relevant variables, between the two groups. We also analysed the type of infection correlated with uterine rupture or dehiscence. Main Outcome Measures: Rate of peripartum infection. Results: A total of 168 women were included, 71 with uterine rupture or dehiscence and 97 with successful vaginal birth after Cesarean section as the control group. The rate of peripartum infection at the first caesarean delivery was significantly higher in the study group compared to the control group (22.2% vs. 8.2%, p=0.013). Multivariate logistic regression analysis found that peripartum infection remained an independent risk-factor for uterine rupture at the subsequent trial of labour after Cesarean delivery (95% CI, P=0.018). We also found that endometritis had the highest correlation to uterine rupture (9.8% vs. 0%, p=0.02) Conclusion: Peripartum infection in the first caesarean delivery, may be an independent risk-factor for uterine rupture in a subsequent delivery. Compared to other infections, endometritis may pose the greatest risk for uterine rupture or dehiscence.

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Section: Introductionmentioning

confidence: 99%

Cesarean delivery complicated with peripartum infection increases the risk of uterine rupture during subsequent trial of labour: A retrospective case-control study

Yaniv

Farladansky-Gershnabel

Gluska

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Elective repeat cesarean birth (ERCB), a major contributor to rising rates of cesarean births (CB), may carry major consequences for women's health in subsequent pregnancies and may be associated with increased maternal morbidity and economic costs. 1,2 Trial of labor after cesarean (LAC) is an advocated alternative for ERCB in most clinical scenarios as it helps reduce the overall CB rate. [3][4][5][6] Unsuccessful LAC is associated with adverse maternal and neonatal outcomes including uterine rupture, postpartum hemorrhage, and perinatal mortality.…”

Section: Introductionmentioning

confidence: 99%