Prediction of successful trial of labor after cesarean among grand-multiparous women

Autor: Gabriel, Levin, Abraham, Tsur, Lee, Tenenbaum, Nizan, Mor, Michal, Zamir, Raanan, Meyer
Rok vydání: 2021
Předmět:
Zdroj: Archives of gynecology and obstetrics. 306(2)
ISSN: 1432-0711
Popis: To determine the factors associated with successful trial of labor after cesarean (TOLAC) among grand-multiparous (GMP) women.A retrospective cohort study was conducted, including all GMP women (≥ 5 deliveries) undergoing TOLAC during 3/2011 and 6/2020, delivering a singleton cephalic newborn. Factors associated with successful vaginal delivery were examined by multivariable analysis.Overall, 381/413 (92.2%) GMP succeeded TOLAC. Maternal characteristics did not differ between TOLAC success and TOLAC failure groups. Previous cesarean delivery characteristics did not differ between study groups. The median number of previous vaginal births after cesarean was 2 [interquartile range 1-4]. Gestational age at TOLAC was lower in the success group (mean 37TOLAC among GMP has a very-high success rate. Shortening the duration of ruptured membranes is a modifiable factor that may be associated with increased TOLAC success rates.
Databáze: OpenAIRE