Induction of labor after a prior cesarean delivery: lessons from a population-based study
| Autor: | Osnat Israeli, Lena Novack, Tal Rafaeli-Yehudai, Ruthy Beer Weisel, Doron Dukler, Moshe Mazor, Offer Erez, Lea Shatz |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures Perinatal outcome Cohort Studies Young Adult Pregnancy medicine Humans Cesarean Section Repeat Labor Induced Cesarean delivery Retrospective Studies Obstetrics business.industry Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Puerperal Disorders Induction of labor medicine.disease Vaginal Birth after Cesarean Trial of Labor Uterine rupture Population based study Pediatrics Perinatology and Child Health Cohort Population study Female Endometritis business |
| Zdroj: | Journal of perinatal medicine. 41(2) |
| ISSN: | 1619-3997 |
| Popis: | Objectives: The aims of this study were (1) to determine the success rate of induction of labor (IOL) in women with a prior cesarean section (CS) and (2) to compare the perinatal outcome of a trial of labor (TOL) in women with one prior CS who had an IOL, spontaneous onset of labor, or an elective repeated CS (ERCS). Material and methods: This study population was divided into three groups: women who had (1) ERCS (n=1916), (2) spontaneous TOL (n=4263), and (3) IOL (n=1576). Results: (1) The rate of IOL in the study cohort was 20.3%; of these, 67.4% had a successful vaginal birth after cesarean (VBAC). (2) Patients in the spontaneous TOL group had a higher VBAC rate than did those who had IOL (P Conclusion: IOL in patients with a previous CS is successful in about two-thirds of the cases. Induction is a safe and useful tool that can serve as an alternative for ERCS and assist to reduce the rate of ERCS. |
| Databáze: | OpenAIRE |
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