Mode of delivery in a subsequent pregnancy following previous instrumental delivery
Autor: | Abraham Golan, Netanel Steinberg, Oscar Sadan, Samer Tannus, Samuel Lurie |
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Rok vydání: | 2012 |
Předmět: |
Adult
medicine.medical_specialty Longitudinal study Vacuum Extraction Obstetrical Young Adult Pregnancy Risk Factors Humans Medicine Longitudinal Studies Young adult Retrospective Studies Cesarean Section Vaginal delivery business.industry Obstetrics Infant Newborn Case-control study Obstetrics and Gynecology Extraction Obstetrical Retrospective cohort study Odds ratio Delivery Obstetric medicine.disease Confidence interval Case-Control Studies Pediatrics Perinatology and Child Health Female business |
Zdroj: | jpme. 41:283-286 |
ISSN: | 1619-3997 0300-5577 |
DOI: | 10.1515/jpm-2012-0104 |
Popis: | Objective: To assess mode of subsequent delivery in women with previous instrumental vaginal delivery. Study design: In this retrospective longitudinal study we followed women who underwent instrumental delivery. The study group included all consecutive parturient women who underwent an instrumental vaginal delivery during a 24-month period (1996–1999). We then identified women who had a subsequent delivery in our center until the end of the year 2010. The control group included women who had a spontaneous vaginal delivery from the same time. Results: During the index period we had 349 consecutive successful instrumental vaginal deliveries. Of those, 125 women had a subsequent delivery in our center (35.8%). In subsequent pregnancies, the spontaneous vaginal delivery rate was 76.8% and 90.4%; the instrumental delivery rate was 8.8% and 1.6%; and the cesarean rate was 14.4% and 8.0%, in the instrumental delivery, and spontaneous vaginal delivery groups, respectively (P Conclusion: Women with a previous instrumental delivery are at an increased risk of requiring either an instrumental delivery or a cesarean section in a subsequent pregnancy compared with women with a previous spontaneous vaginal delivery. |
Databáze: | OpenAIRE |
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