Loading…
Perinatal outcomes after successful and failed trials of labor after cesarean delivery
Objective To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design Matched maternal and neonatal data from 1993-1999 in women wit...
Saved in:
| Published in: | American journal of obstetrics and gynecology 2007-06, Vol.196 (6), p.583.e1-583.e5 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c409t-9f92274aba8553cb64e66dc6c0278904b9b84c3feba6682f79bf08a3efe38c013 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c409t-9f92274aba8553cb64e66dc6c0278904b9b84c3feba6682f79bf08a3efe38c013 |
| container_end_page | 583.e5 |
| container_issue | 6 |
| container_start_page | 583.e1 |
| container_title | American journal of obstetrics and gynecology |
| container_volume | 196 |
| creator | El-Sayed, Yasser Y., MD Watkins, Melanie M., MD Fix, Megan, MD Druzin, Maurice L., MD Pullen, Kristin M., MD Caughey, Aaron B., MD, PhD |
| description | Objective To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design Matched maternal and neonatal data from 1993-1999 in women with singleton term pregnancies with prior cesarean undergoing trial of labor were reviewed. Women with uterine rupture were excluded. Maternal and neonatal outcomes were analyzed for successful and failed trials. Predictors of success and failure were examined. Results 1284 women and their neonates were available for analysis. 1094 (85.2%) had a vaginal birth and 190 (14.8%) underwent repeat cesarean. Failed trials of labor were associated with higher incidence of choriamnionitis (25.8% vs. 5.5%, P |
| doi_str_mv | 10.1016/j.ajog.2007.03.013 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70567606</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002937807003031</els_id><sourcerecordid>70567606</sourcerecordid><originalsourceid>FETCH-LOGICAL-c409t-9f92274aba8553cb64e66dc6c0278904b9b84c3feba6682f79bf08a3efe38c013</originalsourceid><addsrcrecordid>eNp9kV2L1TAQhoMo7nH1D3ghufKudZK0-QARZPELFhT8uA1pOpHUnGZN2oXz7205BwQvvBoGnveFeYaQ5wxaBky-mlo35Z8tB1AtiBaYeEAODIxqpJb6ITkAAG-MUPqKPKl12ldu-GNyxVTfKQP9gfz4giXObnGJ5nXx-YiVurBgoXX1HmsNa6JuHmlwMeFIlxJdqjQHmtyQy4XdQFfQzXTEFO-xnJ6SR2Hj8NllXpPv7999u_nY3H7-8Onm7W3jOzBLY4LhXHVucLrvhR9kh1KOXnrgShvoBjPozouAg5NS86DMEEA7gQGF9tvB1-Tlufeu5N8r1sUeY_WYkpsxr9Uq6KWSIDeQn0Ffcq0Fg70r8ejKyTKwu0072d2m3W1aEHYr30IvLu3rcMTxb-SibwNenwHcbryPWGz1EWePYyzoFzvm-P_-N__EfYpz9C79whPWKa9l3uxZZiu3YL_uD9zfCQpAgGDiDwULm6Y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70567606</pqid></control><display><type>article</type><title>Perinatal outcomes after successful and failed trials of labor after cesarean delivery</title><source>ScienceDirect Freedom Collection</source><creator>El-Sayed, Yasser Y., MD ; Watkins, Melanie M., MD ; Fix, Megan, MD ; Druzin, Maurice L., MD ; Pullen, Kristin M., MD ; Caughey, Aaron B., MD, PhD</creator><creatorcontrib>El-Sayed, Yasser Y., MD ; Watkins, Melanie M., MD ; Fix, Megan, MD ; Druzin, Maurice L., MD ; Pullen, Kristin M., MD ; Caughey, Aaron B., MD, PhD</creatorcontrib><description>Objective To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design Matched maternal and neonatal data from 1993-1999 in women with singleton term pregnancies with prior cesarean undergoing trial of labor were reviewed. Women with uterine rupture were excluded. Maternal and neonatal outcomes were analyzed for successful and failed trials. Predictors of success and failure were examined. Results 1284 women and their neonates were available for analysis. 1094 (85.2%) had a vaginal birth and 190 (14.8%) underwent repeat cesarean. Failed trials of labor were associated with higher incidence of choriamnionitis (25.8% vs. 5.5%, P <.001), postpartum hemorrhage (35.8% vs. 15.8%, P <.001), hysterectomy (1% vs. 0%, P =.022), neonatal jaundice (17.4% vs.10.2%, P =.004) and composite major neonatal morbidities (6.3% vs. 2.8%, P =.014). Conclusion Failed trial of labor in women at term with prior cesarean is associated with increased maternal and neonatal morbidities.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2007.03.013</identifier><identifier>PMID: 17547905</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Acidosis - epidemiology ; Adult ; Anesthesia, Epidural ; Anesthesia, Obstetrical ; Birth Injuries - epidemiology ; Birth Weight ; California - epidemiology ; Cerebral Hemorrhage - epidemiology ; Cesarean Section - statistics & numerical data ; Chorioamnionitis - epidemiology ; Cohort Studies ; Continental Population Groups ; Female ; Humans ; Hysterectomy - statistics & numerical data ; Infant, Newborn ; Jaundice, Neonatal - epidemiology ; Multivariate Analysis ; Obstetrics and Gynecology ; perinatal outcomes ; Pneumonia - epidemiology ; Postpartum Hemorrhage - epidemiology ; Pregnancy ; Respiratory Distress Syndrome, Newborn - epidemiology ; Retrospective Studies ; Sepsis - epidemiology ; Trial of Labor ; Umbilical Cord - chemistry ; Vaginal Birth after Cesarean - statistics & numerical data ; VBAC</subject><ispartof>American journal of obstetrics and gynecology, 2007-06, Vol.196 (6), p.583.e1-583.e5</ispartof><rights>Mosby, Inc.</rights><rights>2007 Mosby, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-9f92274aba8553cb64e66dc6c0278904b9b84c3feba6682f79bf08a3efe38c013</citedby><cites>FETCH-LOGICAL-c409t-9f92274aba8553cb64e66dc6c0278904b9b84c3feba6682f79bf08a3efe38c013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17547905$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>El-Sayed, Yasser Y., MD</creatorcontrib><creatorcontrib>Watkins, Melanie M., MD</creatorcontrib><creatorcontrib>Fix, Megan, MD</creatorcontrib><creatorcontrib>Druzin, Maurice L., MD</creatorcontrib><creatorcontrib>Pullen, Kristin M., MD</creatorcontrib><creatorcontrib>Caughey, Aaron B., MD, PhD</creatorcontrib><title>Perinatal outcomes after successful and failed trials of labor after cesarean delivery</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design Matched maternal and neonatal data from 1993-1999 in women with singleton term pregnancies with prior cesarean undergoing trial of labor were reviewed. Women with uterine rupture were excluded. Maternal and neonatal outcomes were analyzed for successful and failed trials. Predictors of success and failure were examined. Results 1284 women and their neonates were available for analysis. 1094 (85.2%) had a vaginal birth and 190 (14.8%) underwent repeat cesarean. Failed trials of labor were associated with higher incidence of choriamnionitis (25.8% vs. 5.5%, P <.001), postpartum hemorrhage (35.8% vs. 15.8%, P <.001), hysterectomy (1% vs. 0%, P =.022), neonatal jaundice (17.4% vs.10.2%, P =.004) and composite major neonatal morbidities (6.3% vs. 2.8%, P =.014). Conclusion Failed trial of labor in women at term with prior cesarean is associated with increased maternal and neonatal morbidities.</description><subject>Acidosis - epidemiology</subject><subject>Adult</subject><subject>Anesthesia, Epidural</subject><subject>Anesthesia, Obstetrical</subject><subject>Birth Injuries - epidemiology</subject><subject>Birth Weight</subject><subject>California - epidemiology</subject><subject>Cerebral Hemorrhage - epidemiology</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Chorioamnionitis - epidemiology</subject><subject>Cohort Studies</subject><subject>Continental Population Groups</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy - statistics & numerical data</subject><subject>Infant, Newborn</subject><subject>Jaundice, Neonatal - epidemiology</subject><subject>Multivariate Analysis</subject><subject>Obstetrics and Gynecology</subject><subject>perinatal outcomes</subject><subject>Pneumonia - epidemiology</subject><subject>Postpartum Hemorrhage - epidemiology</subject><subject>Pregnancy</subject><subject>Respiratory Distress Syndrome, Newborn - epidemiology</subject><subject>Retrospective Studies</subject><subject>Sepsis - epidemiology</subject><subject>Trial of Labor</subject><subject>Umbilical Cord - chemistry</subject><subject>Vaginal Birth after Cesarean - statistics & numerical data</subject><subject>VBAC</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNp9kV2L1TAQhoMo7nH1D3ghufKudZK0-QARZPELFhT8uA1pOpHUnGZN2oXz7205BwQvvBoGnveFeYaQ5wxaBky-mlo35Z8tB1AtiBaYeEAODIxqpJb6ITkAAG-MUPqKPKl12ldu-GNyxVTfKQP9gfz4giXObnGJ5nXx-YiVurBgoXX1HmsNa6JuHmlwMeFIlxJdqjQHmtyQy4XdQFfQzXTEFO-xnJ6SR2Hj8NllXpPv7999u_nY3H7-8Onm7W3jOzBLY4LhXHVucLrvhR9kh1KOXnrgShvoBjPozouAg5NS86DMEEA7gQGF9tvB1-Tlufeu5N8r1sUeY_WYkpsxr9Uq6KWSIDeQn0Ffcq0Fg70r8ejKyTKwu0072d2m3W1aEHYr30IvLu3rcMTxb-SibwNenwHcbryPWGz1EWePYyzoFzvm-P_-N__EfYpz9C79whPWKa9l3uxZZiu3YL_uD9zfCQpAgGDiDwULm6Y</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>El-Sayed, Yasser Y., MD</creator><creator>Watkins, Melanie M., MD</creator><creator>Fix, Megan, MD</creator><creator>Druzin, Maurice L., MD</creator><creator>Pullen, Kristin M., MD</creator><creator>Caughey, Aaron B., MD, PhD</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070601</creationdate><title>Perinatal outcomes after successful and failed trials of labor after cesarean delivery</title><author>El-Sayed, Yasser Y., MD ; Watkins, Melanie M., MD ; Fix, Megan, MD ; Druzin, Maurice L., MD ; Pullen, Kristin M., MD ; Caughey, Aaron B., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-9f92274aba8553cb64e66dc6c0278904b9b84c3feba6682f79bf08a3efe38c013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acidosis - epidemiology</topic><topic>Adult</topic><topic>Anesthesia, Epidural</topic><topic>Anesthesia, Obstetrical</topic><topic>Birth Injuries - epidemiology</topic><topic>Birth Weight</topic><topic>California - epidemiology</topic><topic>Cerebral Hemorrhage - epidemiology</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Chorioamnionitis - epidemiology</topic><topic>Cohort Studies</topic><topic>Continental Population Groups</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy - statistics & numerical data</topic><topic>Infant, Newborn</topic><topic>Jaundice, Neonatal - epidemiology</topic><topic>Multivariate Analysis</topic><topic>Obstetrics and Gynecology</topic><topic>perinatal outcomes</topic><topic>Pneumonia - epidemiology</topic><topic>Postpartum Hemorrhage - epidemiology</topic><topic>Pregnancy</topic><topic>Respiratory Distress Syndrome, Newborn - epidemiology</topic><topic>Retrospective Studies</topic><topic>Sepsis - epidemiology</topic><topic>Trial of Labor</topic><topic>Umbilical Cord - chemistry</topic><topic>Vaginal Birth after Cesarean - statistics & numerical data</topic><topic>VBAC</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>El-Sayed, Yasser Y., MD</creatorcontrib><creatorcontrib>Watkins, Melanie M., MD</creatorcontrib><creatorcontrib>Fix, Megan, MD</creatorcontrib><creatorcontrib>Druzin, Maurice L., MD</creatorcontrib><creatorcontrib>Pullen, Kristin M., MD</creatorcontrib><creatorcontrib>Caughey, Aaron B., MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>El-Sayed, Yasser Y., MD</au><au>Watkins, Melanie M., MD</au><au>Fix, Megan, MD</au><au>Druzin, Maurice L., MD</au><au>Pullen, Kristin M., MD</au><au>Caughey, Aaron B., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perinatal outcomes after successful and failed trials of labor after cesarean delivery</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>196</volume><issue>6</issue><spage>583.e1</spage><epage>583.e5</epage><pages>583.e1-583.e5</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objective To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design Matched maternal and neonatal data from 1993-1999 in women with singleton term pregnancies with prior cesarean undergoing trial of labor were reviewed. Women with uterine rupture were excluded. Maternal and neonatal outcomes were analyzed for successful and failed trials. Predictors of success and failure were examined. Results 1284 women and their neonates were available for analysis. 1094 (85.2%) had a vaginal birth and 190 (14.8%) underwent repeat cesarean. Failed trials of labor were associated with higher incidence of choriamnionitis (25.8% vs. 5.5%, P <.001), postpartum hemorrhage (35.8% vs. 15.8%, P <.001), hysterectomy (1% vs. 0%, P =.022), neonatal jaundice (17.4% vs.10.2%, P =.004) and composite major neonatal morbidities (6.3% vs. 2.8%, P =.014). Conclusion Failed trial of labor in women at term with prior cesarean is associated with increased maternal and neonatal morbidities.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>17547905</pmid><doi>10.1016/j.ajog.2007.03.013</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 2007-06, Vol.196 (6), p.583.e1-583.e5 |
| issn | 0002-9378 1097-6868 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70567606 |
| source | ScienceDirect Freedom Collection |
| subjects | Acidosis - epidemiology Adult Anesthesia, Epidural Anesthesia, Obstetrical Birth Injuries - epidemiology Birth Weight California - epidemiology Cerebral Hemorrhage - epidemiology Cesarean Section - statistics & numerical data Chorioamnionitis - epidemiology Cohort Studies Continental Population Groups Female Humans Hysterectomy - statistics & numerical data Infant, Newborn Jaundice, Neonatal - epidemiology Multivariate Analysis Obstetrics and Gynecology perinatal outcomes Pneumonia - epidemiology Postpartum Hemorrhage - epidemiology Pregnancy Respiratory Distress Syndrome, Newborn - epidemiology Retrospective Studies Sepsis - epidemiology Trial of Labor Umbilical Cord - chemistry Vaginal Birth after Cesarean - statistics & numerical data VBAC |
| title | Perinatal outcomes after successful and failed trials of labor after cesarean delivery |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T06%3A33%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Perinatal%20outcomes%20after%20successful%20and%20failed%20trials%20of%20labor%20after%20cesarean%20delivery&rft.jtitle=American%20journal%20of%20obstetrics%20and%20gynecology&rft.au=El-Sayed,%20Yasser%20Y.,%20MD&rft.date=2007-06-01&rft.volume=196&rft.issue=6&rft.spage=583.e1&rft.epage=583.e5&rft.pages=583.e1-583.e5&rft.issn=0002-9378&rft.eissn=1097-6868&rft_id=info:doi/10.1016/j.ajog.2007.03.013&rft_dat=%3Cproquest_cross%3E70567606%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c409t-9f92274aba8553cb64e66dc6c0278904b9b84c3feba6682f79bf08a3efe38c013%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=70567606&rft_id=info:pmid/17547905&rfr_iscdi=true |