Vaginal birth after cesarean success in high-risk women: a population-based study
| Autor: | Emily DeFranco, Katherine Wolfe, Candice C. Snyder, Jodi Regan, C Keup |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Pregnancy High-Risk Population Weight Gain Logistic regression White People Body Mass Index Pregnancy Risk Factors medicine Humans education reproductive and urinary physiology Ohio Retrospective Studies education.field_of_study Vaginal delivery Obstetrics business.industry Obstetrics and Gynecology Retrospective cohort study medicine.disease Vaginal Birth after Cesarean Trial of Labor Logistic Models Multivariate Analysis Pediatrics Perinatology and Child Health Gestation Female business Body mass index |
| Zdroj: | Journal of Perinatology. 35:252-257 |
| ISSN: | 1476-5543 0743-8346 |
| Popis: | The study aim was to identify factors associated with vaginal birth after cesarean (VBAC) in high-risk women. This is a population-based retrospective cohort study of all births in Ohio during 2006 and 2007. High-risk patients were defined as singleton gestations in women with one previous cesarean who had ⩾1 of the following risk factors: body mass index (BMI)⩾30, hypertension, or diabetes. Multivariate logistic regression was utilized to estimate the relative influence of each factor on successful VBAC. A total of 280 882 births were analyzed: of them, 79 084 (27.1%) were high-risk pregnancies and 8658 (10.9%) women had undergone one previous cesarean; 1433 (16.6%) underwent a trial of labor after cesarean (TOLAC). Of them, 974 (68.0%) had a successful VBAC, whereas 459 (32.0%) did not. Factors significantly associated with VBAC success were as follows: a prior vaginal delivery; pregnancy weight gain ⩽30 lbs; Caucasian race; and labor augmentation. High-risk women with one prior cesarean are unlikely to undergo a TOLAC, but have a high rate of VBAC. |
| Databáze: | OpenAIRE |
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