Vaginal Birth After Cesarean

Guise, Jeanne Marie; Denman, Mary Anna; Emeis, Cathy; Marshall, Nicole; Walker, Miranda; Fu, Rongwei; Janik, Rosalind; Nygren, Peggy; Eden, Karen; McDonagh, Marian

doi:10.1097/aog.0b013e3181df925f

Cited by 360 publications

(128 citation statements)

References 52 publications

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“…These data were consistent with the systematic review including 203 studies conducted by Guise et al, [33] over the period 1980 to 2009 to evaluate maternal and neonatal outcomes in relation to VBAC. They stated that the adverse outcomes were rare for both elective repeat cesarean delivery and trial of labor.…”

Section: Commentssupporting

confidence: 73%

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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Section: Commentssupporting

confidence: 73%

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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“…To calculate the incidence and 95% CIs of placenta accreta/increta/percreta in women with a previous caesarean with and without placenta praevia diagnosed prior to delivery, we used an estimate of the incidence of placenta praevia in women with a previous caesarean delivery (1.2%), derived from a 2010 systematic review. 75 To calculate the incidence with 95% CIs of uterine rupture in women with and without a previous caesarean section, the most recently available birth data were used together with an estimate of the proportion of women in the UK who had previously delivered by caesarean section (15%), derived from the rate in a group of population-based controls comprising women giving birth in the UK in 2005-6. 8 Information on the proportion of women with a previous caesarean delivery planning a vaginal or caesarean section delivery in their current pregnancy, estimated from that observed in the control women, was used to estimate the denominator for calculation of the incidence and 95% CI of uterine rupture according to planned mode of delivery in women with a previous caesarean section.…”

Section: Discussionmentioning

confidence: 99%

“…When estimated on a population basis, the incidence of uterine rupture in women who have had a previous caesarean delivery and who are planning a vaginal delivery is 1 in 500 maternities, lower than previous estimates. 75 This allows women to assess accurately the risk of this rare, but very serious, complication when deciding on their mode of delivery in these circumstances. Their decision-making can also take into account differences in incidence among women in spontaneous labour versus those who have labour induced or augmented.…”

Section: Key Findings and Implications For Practice Or Policymentioning

confidence: 99%

Beyond maternal death: improving the quality of maternal care through national studies of ‘near-miss’ maternal morbidity

Knight

Acosta

Brocklehurst

et al. 2016

Programme Grants Appl Res

101

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BackgroundStudies of maternal mortality have been shown to result in important improvements to women’s health. It is now recognised that in countries such as the UK, where maternal deaths are rare, the study of near-miss severe maternal morbidity provides additional information to aid disease prevention, treatment and service provision.ObjectivesTo (1) estimate the incidence of specific near-miss morbidities; (2) assess the contribution of existing risk factors to incidence; (3) describe different interventions and their impact on outcomes and costs; (4) identify any groups in which outcomes differ; (5) investigate factors associated with maternal death; (6) compare an external confidential enquiry or a local review approach for investigating quality of care for affected women; and (7) assess the longer-term impacts.MethodsMixed quantitative and qualitative methods including primary national observational studies, database analyses, surveys and case studies overseen by a user advisory group.SettingMaternity units in all four countries of the UK.ParticipantsWomen with near-miss maternal morbidities, their partners and comparison women without severe morbidity.Main outcome measuresThe incidence, risk factors, management and outcomes of uterine rupture, placenta accreta, haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, severe sepsis, amniotic fluid embolism and pregnancy at advanced maternal age (≥ 48 years at completion of pregnancy); factors associated with progression from severe morbidity to death; associations between severe maternal morbidity and ethnicity and socioeconomic status; lessons for care identified by local and external review; economic evaluation of interventions for management of postpartum haemorrhage (PPH); women’s experiences of near-miss maternal morbidity; long-term outcomes; and models of maternity care commissioned through experience-led and standard approaches.ResultsWomen and their partners reported long-term impacts of near-miss maternal morbidities on their physical and mental health. Older maternal age and caesarean delivery are associated with severe maternal morbidity in both current and future pregnancies. Antibiotic prescription for pregnant or postpartum women with suspected infection does not necessarily prevent progression to severe sepsis, which may be rapidly progressive. Delay in delivery, of up to 48 hours, may be safely undertaken in women with HELLP syndrome in whom there is no fetal compromise. Uterine compression sutures are a cost-effective second-line therapy for PPH. Medical comorbidities are associated with a fivefold increase in the odds of maternal death from direct pregnancy complications. External reviews identified more specific clinical messages for care than local reviews. Experience-led commissioning may be used as a way to commission maternity services.LimitationsThis programme used observational studies, some with limited sample size, and the possibility of uncontrolled confounding cannot be excluded.ConclusionsImplementation of the findings of this research could prevent both future severe pregnancy complications as well as improving the outcome of pregnancy for women. One of the clearest findings relates to the population of women with other medical and mental health problems in pregnancy and their risk of severe morbidity. Further research into models of pre-pregnancy, pregnancy and postnatal care is clearly needed.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.

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“…Uterus rüptü-rünün, kötü obstetrik komplikasyonlarından biri, neonatal ve maternal morbiditedir (15,16) .…”

Section: Discussionunclassified

The Effect of Single-Layer or Double-Layer Closure of the Uterine Incision at Cesarean Section on Uterine Scar Formation

Baran¹,

Avci²,

Çakıroğlu³

et al. 2017

IKSST

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Vaginal Birth After Cesarean

Abstract: Overall the best evidence suggests that VBAC is a reasonable choice for the majority of women. Adverse outcomes were rare for both elective repeat cesarean delivery and trial of labor. Definitive studies are lacking to identify patients who are at greatest risk for adverse outcomes.

Cited by 360 publications

References 52 publications

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

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

Beyond maternal death: improving the quality of maternal care through national studies of ‘near-miss’ maternal morbidity

The Effect of Single-Layer or Double-Layer Closure of the Uterine Incision at Cesarean Section on Uterine Scar Formation

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