Riesgo de rotura uterina en el parto vaginal tras cesárea: revisión sistemática

Hidalgo-Lópezosa, Pedro; Hidalgo-Maestre, María

doi:10.1016/j.enfcli.2016.08.006

Cited by 12 publications

(6 citation statements)

References 33 publications

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“…Vaginal birth after cesarean (VBAC) has been initiated as a means of commonly helping to reduce multiple CS rates. The incidence of uterine rupture was found to range between 0.15% and 2.3% during attempted trials of VBAC in women with a low transverse uterine incision 15. Scar separation was less visible in our study.…”

Section: Discussioncontrasting

confidence: 53%

Does an increased number of cesarean sections result in greater risk for mother and baby in low-risk, late preterm and term deliveries?

Hancerliogullari¹,

Yaman²,

Aksoy³

et al. 2019

Pak J Med Sci

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Objective: To compare surgical complications and maternal and neonatal outcomes of low-risk, late preterm and term pregnant women who have had one or two previous cesarean sections (CSs) with those who have had three or more CSs. Methods: We conducted a retrospective study of 850 patients undergoing repeat CS at a tertiary level maternity hospital in Ankara, Turkey. Of those, 380 had previously undergone one or two CSs (Group-I: second or third CS) and 470 had previously undergone three or four CSs (Group-II: fourth or fifth CS). Outcomes and complications were compared between the groups. Results: The two groups were statistically significantly different in terms of maternal age, parity, body mass index, maternal weight gain during pregnancy, and length of hospital stay (all p<0.001). Although the prevalence of intraperitoneal adhesions and placenta previa was higher in Group-II than in Group-I (p<0.001), there was no statistically significant difference in terms of cesarean hysterectomy and adjacent organ injuries (p>0.05). There were also no significant differences between the groups in terms of neonatal outcomes (p>0.05). Conclusion: Although the increase in the number of CSs appears to be associated with intraperitoneal adhesions and placenta previa, adverse maternal and neonatal outcomes were not observed in those women with low-risk pregnancies who underwent CS for the fourth or fifth time. Therefore, fourth and fifth CSs may be considered relatively safe surgical procedures in this cohort. How to cite this:Hancerliogullari N, Yaman S, Aksoy RT, Tokmak A. Does an increased number of cesarean sections result in greater risk for mother and baby in low-risk, late preterm and term deliveries? Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.364 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussioncontrasting

confidence: 53%

Does an increased number of cesarean sections result in greater risk for mother and baby in low-risk, late preterm and term deliveries?

Hancerliogullari¹,

Yaman²,

Aksoy³

et al. 2019

Pak J Med Sci

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“…Increased age decreases the likelihood of VBAC. Women with advanced age were more likely to fail to VBAC, which was also supported by Eden et al [11] Age ≥ 40 years-old was also a risk for uterine rupture when women undertook TOLAC [107]. So, younger women, especially those < 35-years-old, are more likely to have a successful and safe VBAC.…”

Section: Discussionmentioning

confidence: 62%

Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis

Kataria

Wang

et al. 2019

BMC Pregnancy Childbirth

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Background Evidence for the relationship between maternal and perinatal factors and the success of vaginal birth after cesarean section (VBAC) is conflicting. We aimed to systematically analyze published data on maternal and fetal factors for successful VBAC. Methods A comprehensive search of Medline, Embase, and the Cumulative Index to Nursing and Allied Health Literature, from each database’s inception to March 16, 2018. Observational studies, identifying women with a trial of labor after one previous low-transverse cesarean section were included. Two reviewers independently abstracted the data. Meta-analysis was performed using the random-effects model. Risk of bias was assessed by the Newcastle-Ottawa Scale. Results We included 94 eligible observational studies (239,006 pregnant women with 163,502 VBAC). Factors were associated with successful VBAC with the following odds ratios (OR;95%CI): age (0.92;0.86–0.98), obesity (0.50;0.39–0.64), diabetes (0.50;0.42–0.60), hypertensive disorders complicating pregnancy (HDCP) (0.54;0.44–0.67), Bishop score (3.77;2.17–6.53), labor induction (0.58;0.50–0.67), macrosomia (0.56;0.50–0.64), white race (1.39;1.26–1.54), previous vaginal birth before cesarean section (3.14;2.62–3.77), previous VBAC (4.71;4.33–5.12), the indications for the previous cesarean section (cephalopelvic disproportion (0.54;0.36–0.80), dystocia or failure to progress (0.54;0.41–0.70), failed induction (0.56;0.37–0.85), and fetal malpresentation (1.66;1.38–2.01)). Adjusted ORs were similar. Conclusions Diabetes, HDCP, Bishop score, labor induction, macrosomia, age, obesity, previous vaginal birth, and the indications for the previous CS should be considered as the factors affecting the success of VBAC.

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“…At present, many domestic and foreign scholars believe that vaginal delivery after cesarean section is safe. Hidalgo-Lopezosa and Hidalgo-Maestre[ 15 ] reviewed 39 reports assessing uterine rupture under the conditions of natural labor, oxytocin use, and prostaglandin use. The rates were 0.15–0.98%, 0.3–1.5%, and 0.68–2.30%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Characteristics of Pregnancy and Delivery before and after Implementation of the Two-child Policy

Zhang

Zhao

Wang

2018

Chinese Medical Journal

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Background:After the two-child policy is fully implemented, new challenges regarding pregnancy management and the treatment of pregnancy complications will arise. The aim of this study was to analyze the characteristics of pregnancy and delivery before and after the implementation of the two-child policy to make suggestions on the quality assurance of the new era of obstetrics.Methods:In total, 5895 cases of pregnant women who delivered from April 2016 to March 2017 in Peking University Third Hospital served as the study group and 5103 cases of pregnant women who delivered from January to December 2015 served as the control group. The characteristics of pregnancy and delivery were retrospectively analyzed.Results:In the study group, the percentage of pregnant women who were older (over 40 years) (3.6% vs. 2.2%), were multipara (30.3% vs. 17.0%), received irregular prenatal care (1.5% vs. 0.9%), were transferred for treatment from a subordinate hospital (4.4% vs. 2.8%), and were not residents of Beijing (3.8% vs. 2.2%), were significantly increased compared with the control group (P < 0.05). In the study group, the rate of a hypertensive disorder complicating pregnancy (6.4% vs. 5.0%), gestational diabetes mellitus (25.3% vs. 23.1%), dangerous placenta previa (3.0% vs. 2.3%), placental implantation (2.4% vs. 1.8%), and severe postpartum hemorrhage (2.8% vs. 1.9%) was significantly increased compared with the control group (P < 0.05). In the study group, the cesarean section rate during primipara was significantly reduced compared with the control group (42.0% vs. 44.2%). However, the rate during multipara was significantly increased compared with the control group (P < 0.05). Indications for cesarean section in the study group as well as the percentages of scared uterus and placenta previa were significantly increased compared with the control group (P < 0.05).Conclusions:According to the current situation, better methods are needed to strengthen pregnancy and delivery management, reduce the rate of cesarean section, and ensure a positive outcome for mothers and babies.

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Riesgo de rotura uterina en el parto vaginal tras cesárea: revisión sistemática

Cited by 12 publications

References 33 publications

Does an increased number of cesarean sections result in greater risk for mother and baby in low-risk, late preterm and term deliveries?

Does an increased number of cesarean sections result in greater risk for mother and baby in low-risk, late preterm and term deliveries?

Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis

Analysis of the Characteristics of Pregnancy and Delivery before and after Implementation of the Two-child Policy

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