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
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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