Success of trial of labor in women with a history of previous cesarean section for failed labor induction or labor dystocia: a retrospective cohort study
Autor: | Aydin Tekay, Katariina Place, Heidi Kruit, Leena Rahkonen, Seppo Heinonen |
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Přispěvatelé: | Department of Obstetrics and Gynecology, Clinicum, University of Helsinki, HUS Gynecology and Obstetrics |
Rok vydání: | 2018 |
Předmět: |
PREDICTION
medicine.medical_treatment 0302 clinical medicine 3123 Gynaecology and paediatrics Pregnancy Risk Factors 030212 general & internal medicine reproductive and urinary physiology Finland RISK OUTCOMES 030219 obstetrics & reproductive medicine Obstetrics Vaginal delivery Obstetrics and Gynecology Labor dystocia Trial of labor after cesarean (TOLAC) 3. Good health Uterine rupture Gestational diabetes Female Research Article Adult medicine.medical_specialty Reproductive medicine Foley catheter TERM lcsh:Gynecology and obstetrics FOLEY CATHETER DELIVERY MORBIDITY 03 medical and health sciences medicine Fetal macrosomia Humans VAGINAL BIRTH Labor Induced UTERINE RUPTURE lcsh:RG1-991 Retrospective Studies business.industry Cesarean Section Retrospective cohort study medicine.disease Delivery Obstetric Dystocia Vaginal Birth after Cesarean Trial of Labor REGISTRY Labor induction business Induction of labor |
Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-9 (2019) |
ISSN: | 1471-2393 |
Popis: | Background The rates of cesarean section (CS) are increasing worldwide leading to an increased risk for maternal and neonatal complications in the subsequent pregnancy and labor. Previous studies have demonstrated that successful trial of labor after cesarean (TOLAC) is associated with the least maternal morbidity, but the risks of unsuccessful TOLAC exceed the risks of scheduled repeat CS. However, prediction of successful TOLAC is difficult, and only limited data on TOLAC in women with previous failed labor induction or labor dystocia exists. Our aim was to evaluate the success of TOLAC in women with a history of failed labor induction or labor dystocia, to compare the delivery outcomes according to stage of labor at time of previous CS, and to assess the risk factors for recurrent failed labor induction or labor dystocia. Methods This retrospective cohort study of 660 women with a prior CS for failed labor induction or labor dystocia undergoing TOLAC was carried out in Helsinki University Hospital, Finland, between 2013 and 2015. Data on the study population was obtained from the hospital database and analyzed using SPSS. Results The rate of vaginal delivery was 72.9% and the rate of repeat CS for failed induction or labor dystocia was 17.7%. The rate of successful TOLAC was 75.6% in women with a history of labor arrest in the first stage of labor, 73.1% in women with a history of labor arrest in the second stage of labor, and 59.0% in women with previous failed induction. The adjusted risk factors for recurrent failed induction or labor dystocia were maternal height |
Databáze: | OpenAIRE |
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