Trial of Labor after Three or More Previous Cesarean Sections:
                    Systematic Review and Meta-Analysis of Observational Studies

Fruscalzo, Arrigo; Rossetti, Emma; Londero, Ambrogio P.

doi:10.1055/a-1965-4125

Cited by 2 publications

(1 citation statement)

References 55 publications

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“…Massive hemorrhage is rather associated with the event of uterine rupture, rather than the complete dehiscence of a previous uterine scar. Additionally, in the literature, a greater prevalence of bleeding or the need for transfusions after complete dehiscence of a previous cesarean delivery with associated emergent CS vs. ERCD after the last cesarean delivery is not clearly evident [25,26].…”

Section: Discussionmentioning

confidence: 99%

Unexpected Uterine Rupture—A Case Report, Review of the Literature and Clinical Suggestions

Flis,

Socha,

Wartęga

et al. 2023

JCM

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Background and Objectives: Women with a history of cesarean section are a high-risk group because they are likely to develop uterine rupture during their next pregnancy. Current evidence suggests that a vaginal birth after cesarean section (VBAC) is associated with lower maternal mortality and morbidity than elective repeat cesarean delivery (ERCD). Additionally, research suggests that uterine rupture can occur in 0.47% of cases of trial of labor after cesarean section (TOLAC). Case Description: A healthy 32-year-old woman at 41 weeks of gestation, in her fourth pregnancy, was admitted to the hospital due to a dubious CTG record. Following this, the patient gave birth vaginally, underwent a cesarean section, and successfully underwent a VBAC. Due to her advanced gestational age and favorable cervix, the patient qualified for a trial of vaginal labor (TOL). During labor induction, she displayed a pathological CTG pattern and presented symptoms such as abdominal pain and heavy vaginal bleeding. Suspecting a violent uterine rupture, an emergency cesarean section was performed. The presumed diagnosis was confirmed during the procedure—a full-thickness rupture of the pregnant uterus was found. The fetus was delivered without signs of life and successfully resuscitated after 3 min. The newborn girl of weight 3150 g had an Apgar score of 0/6/8/8 at 1, 3, 5, and 10 min. The uterine wall rupture was closed with two layers of sutures. The patient was discharged 4 days after the cesarean section without significant complications, with a healthy newborn girl. Conclusions: Uterine rupture is a rare but severe obstetric emergency and can be associated with maternal and neonatal fatal outcomes. The risk of uterine rupture during a TOLAC attempt should always be considered, even if it is a subsequent TOLAC.

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Section: Discussionmentioning

confidence: 99%

Unexpected Uterine Rupture—A Case Report, Review of the Literature and Clinical Suggestions

Flis,

Socha,

Wartęga

et al. 2023

JCM

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Exploring the mystical relationship between the Moon, Sun, and birth rate

Londero,

Bertozzi,

Messina

et al. 2024

BMC Pregnancy Childbirth

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Objective The Moon has a noticeable influence on the Earth due to its gravity, the most visible manifestation of which are tides. We aimed to see if the Moon’s daily cycle, like the Sun’s, affects the prevalence and incidence of childbirth. Methods In this retrospective cohort study, we examined all deliveries at the Academic Hospital of Udine between 2001 and 2019. All consecutive singleton pregnancies with spontaneous labor and vaginal delivery were included. Results During the period, 13,349 singleton pregnancies with spontaneous labor and vaginal delivery were delivered in 6939 days. A significantly higher prevalence of deliveries was found with the Moon above the horizon (50.63% vs. 49.37%, p < 0.05). Moreover, during the day, there was a significantly higher prevalence of deliveries than during nighttime (53.74% vs. 45.79%, p < 0.05). Combining the Moon and Sun altitude, the majority of deliveries were registered when both were above the horizon (27.39% vs. 26.13%, 23.25%, or 23.24%, p < 0.05). These findings were confirmed in multivariate analysis after adjusting for parity, gestational age, or season. We found no correlation between birth and the Moon phase. Conclusions Our data support the interaction of the Moon and the Sun in determining the time of birth. More research is needed to understand these phenomena and improve our understanding of labor initiation mechanisms.

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Trial of Labor after Three or More Previous Cesarean Sections: Systematic Review and Meta-Analysis of Observational Studies

Cited by 2 publications

References 55 publications

Unexpected Uterine Rupture—A Case Report, Review of the Literature and Clinical Suggestions

Unexpected Uterine Rupture—A Case Report, Review of the Literature and Clinical Suggestions

Exploring the mystical relationship between the Moon, Sun, and birth rate

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