| Autor: |
Rocio Garcia-Jimenez, Irene Valero, Ana M. Weber-Fernandez, Natalia Florez, Irene Martinez-Aguado, Carlota Borrero |
| Jazyk: |
English<br />Spanish; Castilian |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Revista Chilena de Obstetricia y Ginecología, Vol 87, Iss 6 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
0717-7526 |
| DOI: |
10.24875/RECHOG.22000080 |
| Popis: |
Objective: Determining the appropriate approach for delivery after previous cesarean is a very controversial issue. Our objective was to establish whether pregnant women with a previous cesarean have an increased maternal and fetal morbidity and mortality after attempting vaginal delivery as well as to determine which factors may influence the achievement of a vaginal birth after cesarean. Materials and methods: A retrospective observational cohort study including 390 patients (196 cesarean group and 194 nulliparous group) was carried out. We compared neonatal and maternal outcomes between groups. Afterward, a multivariate logistic regression was applied for our second objective. Results: There were higher rates of uterine rupture (2% vs. 0%, p: 0.045) and puerperal hemorrhage (9.7% vs. 3.1%, p: 0.008) in the cesarean group and lower vaginal delivery rate (58.2% vs. 77.8%, p < 0.0005). We found that the induced onset of labor (OR = 2.9) and new born weight (OR = 1.0001) were associated with an increased risk of cesarean section. Conclusions: Our findings stress the need for further investigations in this field, which might provide a basis for a better management of patients with a previous cesarean. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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