Pregnancy and labor following cesarean section

Douglas, R. Gordon; Birnbaum, Stanley J.; Macdonald, Frances A.

doi:10.1016/s0002-9378(16)35254-1

Cited by 33 publications

(3 citation statements)

References 14 publications

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“…His concern was an attempt to avoid the first cesarean, thus reducing the significant risk of future surgeries. By the early 1960s, repeat cesareans became accepted as standard practice in the United States (2). As surgical and anesthesia techniques improved, indications for performing cesarean births relaxed, and the rate of cesarean delivery increased from 5% in 1970 to nearly 25% by 1988 (3).…”

Section: Introductionmentioning

confidence: 99%

Vaginal Birth After Cesarean Birth: A National Survey of U.S. Midwifery Practice

Carr

Burkhardt²,

Avery³

2002

J Midwife Womens Health

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Midwives have been providing care for women choosing vaginal birth after cesarean birth (VBAC) for over 20 years. The 1999 American College of Obstetrician Gynecologist (ACOG) guidelines and recent studies questioning the relative safety of VBAC have raised concerns about continuing to offer this option. As part of an effort to understand VBAC care provided by midwives, this study used a national survey sample to examine practices, scope, and recent changes in the provision of VBAC care. The survey, which included demographic and practice items was mailed in late 2000 to a purposeful sample of 325 midwifery practices. The return rate was 62%. Nearly all (94%) of the responding practices were providing VBAC care, and almost half of them (43%) stated that their ability to do so had changed within the past 2 years secondary to recent studies in the obstetric literature, the 1999 ACOG statement, and concerns from third-party payers. Criteria for offering VBAC are stricter, and consent forms are more extensive. Other changes included the need for additional or more intensive support services, in-house anesthesia, and surgery backup. Midwives continue to provide VBAC care, although with some increased restrictions. This study provides background for future research that will determine how midwifery care affects the rate of successful VBACs.

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Section: Introductionmentioning

confidence: 99%

Vaginal Birth After Cesarean Birth: A National Survey of U.S. Midwifery Practice

Carr

Burkhardt²,

Avery³

2002

J Midwife Womens Health

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“…Risks of uterine rupture with previous classical incision have ranged from as high as 12% 6,7 to as low as 1% for women undergoing trial of labor. 8 In the MFMU Network study, 2 uterine ruptures were recorded in 105 women (1.9%) with a previous classical, inverted T, or J incision who either presented in advanced labor or refused repeat cesarean section. 5 The American College of Obstetricians and Gynecologists has cited a uterine rupture risk of 4%-9% for women with prior cesarean undergoing trial of labor and thus such practice is contraindicated.…”

mentioning

confidence: 99%

Optimal Timing and Mode of Delivery After Cesarean with Previous Classical Incision or Myomectomy: A Review of the Data

Landon

Lynch

2011

Seminars in Perinatology

141

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“…In 1963, Douglas et al documented the risk of uterine rupture during trial of labour after previous caesarean section to be 0.17%. 2 Between the 1960s and 1980s, several studies concluded that vaginal birth after caesarean (VBAC) was a reasonable option. 3 risk of perinatal death from attempted VBAC was 1.4 per 10,000 (95% CI 0-9.8), and in only 5% of uterine ruptures did the baby die.…”

Section: Introductionmentioning

confidence: 99%

Maternal and fetal outcomes following the trial of vaginal delivery and elective repeat caesarean section in term pregnancy with one previous lower segment caesarean section in Dr. Baba Saheb Ambedkar Hospital: a prospective controlled study

Mahajan

Gupta²,

Agrawal³

2022

Int J Reprod Contracept Obstet Gynecol

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Background: Before 1970s, the phrase “once a caesarean, always a caesarean” was a common norm. Now this phrase has been changed to “once a caesarean, always an institutional delivery”.Methods: This prospective controlled study was carried out in department of obstetrics and gynaecology, Dr. Baba Saheb Ambedkar Medical College and Hospital, Rohini, Delhi for a period of 7 months (October 19 to April 2020) and included 200 gravid women with previous one lower segment caesarean section (LSCS). The ethical committee approval for the study was taken.Results: The success rate of trial of labour after caesarean (TOLAC) in our study was 67%. It was concluded from this study that the percentage of woman having complications were maximum in failed TOLAC patients which was 69.70% followed by patients undergoing elective repeat caesarean delivery (ERCD) which was 59% followed by women having successful VBAC which was 8.96%. The percentage of neonate having complications were maximum in neonate of failed TOLAC patients which was 27.27% followed by neonate of patients undergoing ERCD which was 21% followed by neonate of women having successful VBAC which was 5.97%.Conclusions: TOLAC for a second delivery is a much-needed feasible option in developing countries to reduce the cost and morbidities of repeat caesarean deliveries.

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Pregnancy and labor following cesarean section

Cited by 33 publications

References 14 publications

Vaginal Birth After Cesarean Birth: A National Survey of U.S. Midwifery Practice

Vaginal Birth After Cesarean Birth: A National Survey of U.S. Midwifery Practice

Optimal Timing and Mode of Delivery After Cesarean with Previous Classical Incision or Myomectomy: A Review of the Data

Maternal and fetal outcomes following the trial of vaginal delivery and elective repeat caesarean section in term pregnancy with one previous lower segment caesarean section in Dr. Baba Saheb Ambedkar Hospital: a prospective controlled study

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