Obstetric outcomes in the second birth of women with a previous caesarean delivery: a retrospective cohort study from Peru

Laveriano, Walter Ricardo Ventura; Redondo, C

doi:10.1590/s0100-72032013000400003

Cited by 8 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Especially in women without indications for a previous CS, the risks were much higher for PIH, GDM, and polyhydramnios. Similar research has shown the association between the first CS and the increased risk of PE [ 27 , 48 , 49 ], but no differences were found in our study. Prior CS has been shown to be an important risk factor for subsequent complications, including placental vasculopathies [ 50 ], which may lead to a high risk of PIH.…”

Section: Discussionsupporting

confidence: 72%

Association between first caesarean delivery and adverse outcomes in subsequent pregnancy: a retrospective cohort study

Lin

et al. 2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundFew studies have explored the association between a previous caesarean section (CS) and adverse perinatal outcomes in a subsequent pregnancy, especially in women who underwent a non-indicated CS in their first delivery. We designed this study to compare the perinatal outcomes of a subsequent pregnancy in women who underwent spontaneous vaginal delivery (SVD) or CS in their first delivery.MethodsThis retrospective cohort study included women who underwent singleton deliveries at the International Peace Maternity and Child Health Hospital from January 2013 to December 2016. Data on the perinatal outcomes of all the women were extracted from the medical records. Multivariate logistic regression was conducted to assessed the association between CS in the first delivery and adverse perinatal outcomes in the subsequent pregnancy.ResultsCS delivery in the subsequent pregnancy was more likely for women who underwent CS in their first birth than for women with previous SVD (97.3% versus 13.2%). CS in the first birth was also associated with a significantly increased risk of adverse outcomes in the subsequent pregnancy, especially in women who underwent a non-indicated CS. Adverse perinatal outcomes included pregnancy-induced hypertension [adjusted odds ratio (OR), 95% confidence interval (CI): 2.20, 1.59–3.05], gestational diabetes mellitus (1.82, 1.57–2.11), gestational anaemia (1.27, 1.05–1.55), placenta previa (3.18, 2.15–4.71), placenta accreta (2.75, 1.75–4.31), and polyhydramnios (2.60, 1.57–4.31) in the mother and preterm delivery (1.37, 1.06–1.78), low birth weight (3.78, 2.07–6.90), macrosomia (5.04, 3.95–6.44), and neonatal jaundice (1.72, 1.39–2.14) in the baby.ConclusionsCS in the first delivery markedly increases the risk of repeated CS and maternal-fetal complications in the subsequent pregnancy, especially in women with a non-indicated CS.

show abstract

Section: Discussionsupporting

confidence: 72%

Association between first caesarean delivery and adverse outcomes in subsequent pregnancy: a retrospective cohort study

Lin

et al. 2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…The results from the present study and the concurring reports of the authors cited above (14,15) provide us with a risk evaluation method for pregnancy-related hypertension in the second pregnancy following cesarean delivery. It assumes a greater significance and importance because it is known that the frequency of resorting to cesarean delivery is on the rise all over the world (16)(17)(18)(19)(20)(21) as well as in India (22)(23)(24).…”

Section: Discussionsupporting

confidence: 86%

“…Similarly, examining obstetric outcomes in the second birth in women who had undergone a previous cesarean delivery in a hospital-based retrospective cohort study, Laveriano and Redondo (14) found that women with previous cesarean delivery were more likely to have preeclampsia (OR, 1.4; 95% CI, 1.2-1.6).…”

Section: Discussionmentioning

confidence: 98%

Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery

Dammavalam¹,

Kushtagi²

2017

Istanbul Med J

View full text Add to dashboard Cite

Pregnancy-related hypertension is a significant contributor to maternal as well as perinatal morbidity and mortality and is found to be responsible for 25% of maternal mortality (1). There are several factors that can place a woman at a higher risk of developing pregnancy hypertension. Potential risk factors associated with the development of hypertension in pregnancy include multiple gestation, nulliparity, pre-existing diabetes, high body mass index (BMI), advanced maternal age, and history of hypertension in previous pregnancies (2).Pregnancy-related hypertension is generally considered as a disease of first pregnancy. It is less common in subsequent pregnancies. If a woman was normotensive during her first pregnancy, the possibility of developing hypertension in a subsequent pregnancy was much lower (3). There are studies documenting the risk of recurrence (4, 5) and occurrence of pregnancy hypertension in multigravidas (6).Not many studies have been performed to determine the changing incidence of pregnancy-related hypertension in multigravidas. It is acknowledged that the incidence of cesarean delivery has been on the rise. It is also documented that a scarred uterus can affect the vasculature of the uterus and may subsequently affect the placentation in pregnancy (7). It is also established that the primary pathology of preeclampsia appears to be at the maternal-fetal interface characterized by poor trophoblastic invasion of the uterus and that it subsequently alters the utero-placental blood flow (8). It is reported that there is an increased preeclampsia risk in the following pregnancies after cesarean delivery (9).The present study is an attempt to recheck the influence of prior cesarean delivery on incidence of pregnancy-related hypertension. MethodsThis was a prospective case-control non-interventional study conducted from September 2015 to August 2016 in maternity facilities attached to a medical college in southern India on the west coast. Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean DeliveryObjective: To investigate whether prior cesarean delivery is associated with occurrence of pregnancy hypertension. Methods:A prospective case-control study in consenting eligible consecutive 475 pregnancies with prior cesarean delivery and age-and paritymatched 475 pregnancies with previous vaginal delivery. Results were subjected to multiple logistical regression analysis.Results: Body mass index, birth interval, and neonatal birth weight were comparable between the study groups. In women with prior cesarean delivery, pregnancy-related hypertension was significantly higher [15.9% vs. 6.7% in those with prior vaginal delivery, p<0.05; odds ratio (OR), 2.6; 95% confidence interval (CI), 1.707-4.072]. A higher proportion of women were found to develop hypertension by 32 weeks of pregnancy. In both the study groups, the development of pregnancy-related hypertension was found to be higher in the age group of 20-25 years, birth interval of >18 months, second gravidas, and in the gestation p...

show abstract

“…A cesariana anterior é fator de risco isolado para a pré-eclâmpsia numa gravidez subsequente 21 . Associação semelhante foi observada em mulheres peruanas, tendo-se verificado que a taxa de cesarianas em mulheres com pré-eclâmpsia é mais alta entre as que já haviam sido submetidas a uma cesariana do que entre aquelas que haviam tido um parto vaginal 15 .…”

Section: Discussionunclassified

“…A taxa elevada de cesarianas tem considerável importância clínica e para a saúde pública, e qualquer estratégia para a sua redução é válida, incluindo a tentativa de parto normal em mulheres com uma pré-eclâmpsia. A cesariana amplia o risco de mortalidade e de complicações cirúrgicas para a atual e futuras gestações 21 .…”

Section: Discussionunclassified

Fatores associados à via de parto em mulheres com pré-eclâmpsia

Linhares¹,

Macêdo

Arruda³

et al. 2014

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

show abstract

Obstetric outcomes in the second birth of women with a previous caesarean delivery: a retrospective cohort study from Peru

Abstract: Individuals with previous cesarean section have adverse obstetric outcomes in the subsequent pregnancy, including uterine rupture, and placental-related disorders such as preeclampsia, spontaneous preterm delivery, and placental abruption.

Cited by 8 publications

References 21 publications

Association between first caesarean delivery and adverse outcomes in subsequent pregnancy: a retrospective cohort study

Association between first caesarean delivery and adverse outcomes in subsequent pregnancy: a retrospective cohort study

Pregnancy-Related Hypertension in Multigravidas with Previous Cesarean Delivery

Fatores associados à via de parto em mulheres com pré-eclâmpsia

Contact Info

Product

Resources

About