Trial of Labor in Previous Cesarean Section Patients, Excluding Classical Cesarean Sections

Tg, Stovall; Dc, Shaver; Sk, Solomon; Gd, Anderson

doi:10.1097/00132582-198807000-00007

Cited by 22 publications

(20 citation statements)

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“…Because concerns about uterine rupture emerging after 1996 could affect candidate selection for TOL and perhaps improve VBAC rates, studies were grouped by the years when the data were collected: completed before 1996, included 1996, and started after 1996. The TOL rate was 62% (95% CI [57, 66]) among nine U.S. studies completed before 1996 (Fisler, Cohen, Ringer, & Lieberman, ; Flamm, Goings, Liu, & Wolde‐Tsadik, ; Gregory, Korst, Cane, Platt, & Kahn, ; Hook, Kiwi, Amini, Fanaroff, & Hack, ; Hueston & Rudy, ; Phelan, Clark, Diaz, & Paul, ; Pickhardt et al., ; Stovall, Shayer, Solomon, & Anderson, ; Troyer & Parisi, ), 63% (95% CI [58, 67]) for U.S. studies that included 1996 (DeFranco et al., ; Durnwald & Mercer, ; Loebel, Zelop, Egan, & Wax, ; Macones et al., ; Socol & Peaceman, ), and 44% (95% CI [34, to 53] for U.S. studies initiated after 1996 (DiMaio, Edwards, Euliano, Treloar, & Cruz, ; Gregory et al., ; Landon et al., ). The TOL was significantly lower than the rate prior to 1996 ( p = .016) or that included 1996 ( p = .019) (Figure ).…”

Section: Resultsmentioning

confidence: 99%

“…Descriptively, it appeared that studies enrolled fewer and fewer women with more than one prior cesarean over time. Studies completed before 1996 reported that 19% (Stovall, ) to 23% (Phelan, ) of women with a TOL had more than one prior cesarean. For studies launched in 1996, between 9% (Macones et al., ) and 19% (DeFranco et al., ) of women with a TOL had more than one cesarean.…”

Section: Resultsmentioning

confidence: 99%

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Trial of Labor and Vaginal Delivery Rates in Women with a Prior Cesarean

Eden

Denman

Emeis

et al. 2012

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Trial of Labor and Vaginal Delivery Rates in Women with a Prior Cesarean

Eden

Denman

Emeis

et al. 2012

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…Patients who have a recurrent indication for primary caesarean section should be restricted from undergoing a trial of lobour. 8 A trial of labor is generally not offered after two caesarean section as multiple caesarean sections are associated with many complications like scar integrity and placental complication. 9 Vaginal birth after cesarean section (VBAC) is associated with short period of hospitalization, less blood loss and fewer transfusions, fewer infections, and fewer thromboembolic events than cesarean delivery.…”

Section: Discussionmentioning

confidence: 99%

Vaginal birth after caesarean section: why and how?

Bangal¹,

Gavhane²,

Yadav³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: With the significant rise in the incidence of primary caesarean section(CS) for various indications, an increasing proportion of the pregnant women coming for antenatal care, report with a history of a previous CS. This necessitates definite need to bring down the caesarean section rate, either by judicious selection of cases for primary caesarean section or by attempting vaginal delivery, following previous caesarean section (VBAC).Methods: A prospective observational study was conducted to find out the success of VBAC and the common predictive factors leading to successful VBAC. A total of 136 pregnant women with full term pregnancy, having history of previous one lower segment caesarean section and without any other medical and obstetrical complication were enrolled in the study.Results: Majority of the women (95.59%) had spontaneous onset of labor. The success of VBAC was 75 percent. The commonest maternal complications were fever (7.35%), scar dehiscence (3.68%), PPH (1.47%) and wound infection (2.21%).There was significantly higher number of women who had history of previous successful VBAC, had vaginal delivery (91.67%; p=0.038).It was observed that the rate of vaginal delivery was significantly high in women with Bishop’s score between 10 to 13 (94.64%) compared to 6 to 9 (61.25%) (p<0.001).The baby weight determined by ultrasound scan was significantly associated with mode of delivery (p=0.049).Conclusions: Vaginal Birth After Caesarean section is relatively safe, provided it is conducted in carefully selected cases, under constant supervision. Spontaneous onset of labour, good Bishops score and average baby weight were good predictors of successful VBAC.

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“…5% out of the 200 participants in the study for labor induction with no statistical difference between individual groups (1% in the dinoprostone 1.5 mg group versus no patient in the dinoprostone sustained release group). Uterine rupture was measured in many previous studies [7,13,14,32] evaluating labor induction in patients with prior cesarean delivery and finding uterine rupture rate ranging between 0.35% [13] and 4.35% [32]. The wide range of uterine rupture rate among those studies may be explained by the lack of clear definition of uterine rupture because it is only those that cause symptoms are relevant to the assessment of the health risks of VBAC.…”

Section: Commentsmentioning

confidence: 99%

“…Actually, studies in literature are contradictory whether or not prostaglandins are independently related to uterine rupture [9][10][11][12]. Many studies suggest no further probability to have a cesarean delivery or a uterine rupture in women who experienced labor induction than their spontaneously laboring women [13][14][15]. As well, the balance between the probable adverse consequences of labor induction in women with a prior cesarean versus the short and long-term complications connected with routine elective cesarean delivery is undefined [16].…”

Section: Introductionmentioning

confidence: 99%

Comparative study for success rate of vaginal birth after cesarean section following labor induction by two forms of vaginal dinosprostone: A pilot study

Hassan¹,

El-Tohamy²

2014

OJOG

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Background: Cesarean delivery has become the most common major surgical procedure in many parts of the world. Induction of labor in women with prior cesarean delivery is an alternative to mitigate the rising cesarean rates. Objectives: To compare the VBAC success rate between two vaginal forms of dinoprostone for labor induction in women with prior cesarean section. Material and Methods: A pilot study was conducted at a large Governmental Hospital, Dhahran, Saudi Arabia, including 200 women with prior cesarean section and planned for labor induction. Participants were randomly allocated into two groups. Group A (n = 100) received dinoprostone 1.5 mg vaginal tablet. Group B (n = 100) received 10 mg dinoprostone sustained release vaginal pessary. Primary outcome was vaginal delivery rate. Secondary outcomes included maternal and neonatal outcomes. Results: The dinoprostone vaginal tablet and dinoprostone vaginal pessary had a comparable vaginal delivery rate (67% and 64%, respectively; p = 0.78). The median patient satisfaction with the birth process was superior in the dinoprostone vaginal pessary group (p = 0.04). Maternal and neonatal outcomes were similar in both groups. Conclusion: Both forms of dinoprostone were effective methods for labor induction in women with prior cesarean section. However, the patient satisfaction with the birth process was in favor of the dinoprostone sustained release vaginal pessary.

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Trial of Labor in Previous Cesarean Section Patients, Excluding Classical Cesarean Sections

Cited by 22 publications

References 0 publications

Trial of Labor and Vaginal Delivery Rates in Women with a Prior Cesarean

Trial of Labor and Vaginal Delivery Rates in Women with a Prior Cesarean

Vaginal birth after caesarean section: why and how?

Comparative study for success rate of vaginal birth after cesarean section following labor induction by two forms of vaginal dinosprostone: A pilot study

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