Neonatal Morbidity After Elective Repeat Cesarean Section and Trial of Labor

Hook, Brenda; Kiwi, Robert; Amini, Saeid B.; Fanaroff, Avroy A.; Hack, Maureen

doi:10.1542/peds.100.3.348

Cited by 190 publications

(64 citation statements)

References 22 publications

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“…Most of the women in our study answered 'Neutral' regarding the maternal and fetal risks and benefits. It is possible that patients do not understand the issues involved [4,6,7,8,9,20,38,39,40,41,42,43]. It was of concern that Gamble et al found that women who preferred a cesarean section were poorly informed regarding the risks and overestimated the safety of the procedure [22].…”

Section: Discussionmentioning

confidence: 99%

Non-pregnant patients? preference for delivery route

Thurman

Zoller

Swift

2003

International Urogynecology Journal and Pelvic Floor Dysfunctio

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The objective of the study was to survey non-pregnant women regarding their preference for obstetric delivery route and to assess their awareness of the maternal and fetal risks of obstetric delivery. We wished to determine the percentage of non-pregnant women who would choose elective cesarean section and to correlate demographic factors. We compared women who elected cesarean delivery versus vaginal delivery. All patients presenting for routine gynecologic care were asked to complete an anonymous survey. Demographic variables analyzed were patient age, race, employment, insurance type and household income. Secondary data regarding knowledge of the risks and benefits of cesarean and vaginal delivery were assessed with a Likert Scale. Of patients surveyed, 13.3% preferred cesarean section. The only significant demographic factor was was race, with 21.7% of non-whites and 7.8% of whites choosing cesarean section. Most patients agreed that elective cesarean sections should be performed and reimbursed by insurance. The majority of women answered neutral regarding the maternal and neonatal risks of obstetrical delivery. The unique feature of this observational study is the sole participation of non-pregnant patients. The percentage of women who would elect cesarean section has significant public health implications. The only difference noted between demographic groups is that non-white women had a stronger preference for cesarean. Without counseling, most women are unsure of the risks of delivery route on maternal and neonatal health.

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Section: Discussionmentioning

confidence: 99%

Non-pregnant patients? preference for delivery route

Thurman

Zoller

Swift

2003

International Urogynecology Journal and Pelvic Floor Dysfunctio

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“…23 Both the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists have cautioned against the prediction of later neurologic dysfunction solely on the basis of low Apgar scores at 5 minutes, as these have greater prognostic value when combined with peripartum complications, fetal acidemia, and signs of neonatal encephalopathy. 24 Nevertheless, 4 cohort studies 10,11,15,18 reported no significant difference in 5-minute Apgar scores between TOLAC and ERCD.…”

Section: Need For Resuscitationmentioning

confidence: 99%

“…Neonatal mortality is defined as death in the first 28 days of age. 11,13 For this outcome, 6 cohort studies 8,11,12,[14][15][16] were identified that met study criteria established in the NIH systematic evidence review. We are aware of a large, population-based, birth certificate study by Menacker and colleagues 17 published after the review, but this study did not meet inclusion criteria, as there was no description of whether or how infants with congenital anomalies were excluded from the study population.…”

Section: Mortalitymentioning

confidence: 99%

“…Thus, the need for positive-pressure ventilation (or bag-and-mask ventilation) and the Apgar scores have often been used as surrogate outcome measures of perinatal morbidity. Three studies 15,18,19 compared the frequency of bag-and-mask ventilation (BMV) in the neonate when women underwent TOLAC Delivery After Previous Cesarean compared with ERCD. In the study by Kamath and colleagues, 19 neonates delivered by ERCD appear to need more "mild-to-moderate" resuscitation efforts (41.5% with ERCD vs 23.2% with VBAC, P<.01), whereas those delivered by cesarean after an unsuccessful VBAC attempt were more likely to need BMV and intubation in the delivery room.…”

Section: Need For Resuscitationmentioning

confidence: 99%

See 1 more Smart Citation

Fetal and Neonatal Morbidity and Mortality Following Delivery After Previous Cesarean

Emeis

Guise

et al. 2011

Clinics in Perinatology

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“…An sons ten ist bei ei ner Re sec tio für das Kind eher mit Ateman pas sungs stö run gen zu rech nen, bei va gi na ler Ent bin dung eher mit In fek tio nen [16].…”

Section: Ri Si Ken Für Mut Ter Und Kindunclassified

Entbindung nach Uterotomie oder bei Uterusanomalien

Fischer¹,

Axt-Fliedner²,

Hornung³

et al. 2005

Gynäkologe

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nas · M. Fried richUni ver si täts frau enkli nik, Uni ver si tät Schles wig-Hol stein, Cam pus Lü beck Ent bin dung nach Ute ro to mie oder bei Ute ru s an oma li en Gynäkologe 2005 · 38:514-521 Die Zahl der Schwan ge ren, die in ih rer Vor ge schich te eine Sec tio auf wei sen, steigt, trotz der ins ge samt sin ken den Anzahl an Mehr ge bä ren den, stän dig an. Dies liegt zum einen an der zu neh mend auch fo ren sisch aus ge rich te ten Ge burts hil fe, eben so aber an der ver än der ten Ein stellung ge gen über ei ner elek ti ven Sec tio von Sei ten der Schwan ge ren und auch der Geburts hel fer [39]. So lag die Sec tio ra te nach der nie der säch si schen Pe ri na taler he bung 2003 ins ge samt bei 27, die der Schwan geren mit dem Ri si ko fak tor "Zu stand nach Sec tio oder an de ren Ute rus ope ra tio nen" bei 9,6 [40].Im Fall ei ner er neu ten Schwan gerschaft stellt sich die Fra ge des Ge burts modus: Wäh rend noch in den 1970er Jah ren die Emp feh lung lau te te, nach ei nem Kaiser schnitt auf grund des er höh ten Ute rusrup tur ri si kos in ei ner er neu ten Schwanger schaft wie de rum die Sec tio durch zufüh ren, ist dies heut zu ta ge nicht mehr allge mei ner Kon sens [18]. Ins be son de re in den Ver ei nig ten Staa ten wird der Ver such der va gi na len Ge burts lei tung emp foh len [29], wäh rend im mer wie der Über sichtsar bei ten pub li ziert wer den, in de nen auf das er höh te Ri si ko bei Ver such ei ner va gina len Ge burt ins be son de re durch die Uterus rup tur hin ge wie sen wird [28].Auch psy cho lo gi sche Fak to ren spie len für die Schwan ge re, die be reits per Sec tio ent bun den hat, eine wich ti ge Rol le: Ist es nach ei nem pro tra hier ten Ver lauf bei Geburts s till stand zu ei ner Sec tio ge kom men, wird die er neut Schwan ge re eher ei ner erneu ten, nun aber elek ti ven Sec tio zu stimmen bzw. sie ein for dern. Wur de eine Sectio z. B. we gen ei ner La gean oma lie durchge führt, wird die Schwan ge re viel leicht den Wunsch ha ben, wenn schon nicht bei der ers ten Schwan ger schaft, so doch wenigs tens jetzt eine va gi na le Ge burt zu erle ben [35].Um mit ei ner Schwan ge ren nach Sectio eine er neu te Ge burt pla nen zu kön nen, gilt es, fol gen de Fra gen zu be ant wor ten:1. Wie groß ist die Chan ce ei ner kom plika ti ons frei en va gi na len Ent bin dung? 2. Wel che Ri si ken tra gen Mut ter und Kind bei dem Ver such ei ner va gi na len Ge burt mit evtl. se kun därer Re sec tio im Ver gleich zur elek ti ven Re sec tio? 3. Wel che Be son der hei ten gilt es bei der Lei tung der Ge burt zu be ach ten und wel che Ent schei dungs kri te ri en gibt es, den Ver such der va gi na len Ge burt zu recht fer ti gen? Chan ce ei ner kom pli ka ti ons frei en va gi na len Ent bin dungSie ist bei ei ner Frau mit Zu stand nach einma li ger Sec tio fast gleich hoch wie bei einer Schwan ge ren ohne vor an ge gan ge ne Sec tio, ins ge samt 60-80, wenn nicht erneut der Grund vor liegt, der zur ers ten Schnit tent bin dung ge führt hat te. Wur de be reits 2-mal eine Sec tio durchge ...

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Neonatal Morbidity After Elective Repeat Cesarean Section and Trial of Labor

Abstract: Infants born by ERCS are at increased risk for developing respiratory problems compared with those born by TOL. However, TOL is associated with increased rates of suspected and proven sepsis. This appears to be limited to infants delivered by cesarean section after a failed TOL.

Cited by 190 publications

References 22 publications

Non-pregnant patients? preference for delivery route

Non-pregnant patients? preference for delivery route

Fetal and Neonatal Morbidity and Mortality Following Delivery After Previous Cesarean

Entbindung nach Uterotomie oder bei Uterusanomalien

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