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Trial of labor after two cesarean sections: A retrospective case-control study.
Horgan, Rebecca; Hossain, Saif; Fulginiti, Adriana; Patras, Ariana; Massaro, Robert; Abuhamad, Alfred Z; Kawakita, Tetsuya; Graebe, Robert.
Afiliação
  • Horgan R; Department of Obstetrics & Gynecology, Monmouth Medical Center, Long Branch, New Jersey, USA.
  • Hossain S; Department of Maternal Fetal Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA.
  • Fulginiti A; Department of Obstetrics & Gynecology, Monmouth Medical Center, Long Branch, New Jersey, USA.
  • Patras A; Department of Obstetrics & Gynecology, Monmouth Medical Center, Long Branch, New Jersey, USA.
  • Massaro R; Department of Obstetrics & Gynecology, Monmouth Medical Center, Long Branch, New Jersey, USA.
  • Abuhamad AZ; Department of Obstetrics & Gynecology, Monmouth Medical Center, Long Branch, New Jersey, USA.
  • Kawakita T; Department of Maternal Fetal Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA.
  • Graebe R; Department of Maternal Fetal Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA.
J Obstet Gynaecol Res ; 48(10): 2528-2533, 2022 Oct.
Article em En | MEDLINE | ID: mdl-35793784
AIM: The objective of this study was to compare neonatal and maternal outcomes among women with two previous cesarean deliveries who undergo trial of labor after two cesarean section (TOLA2C) versus elective repeat cesarean delivery (ERCD). Our primary outcome was neonatal intensive care unit (NICU) admission. Secondary outcomes included APGAR score <7 at 5 min, TOLA2C success rate, uterine rupture, postpartum hemorrhage, maternal blood transfusion, maternal bowel and bladder injury, immediate postpartum infection, and maternal mortality. METHODS: This retrospective cohort study was undertaken at a community medical center from January 1, 2008 to December 31, 2018. Inclusion criteria were women with a vertex singleton gestation at term and a history of two prior cesarean sections. Exclusion criteria included a previous successful TOLA2C, prior classical uterine incision or abdominal myomectomy, placenta previa or invasive placentation, multiple gestation, nonvertex presentation, history of uterine rupture or known fetal anomaly. Maternal and neonatal outcomes were assessed using Fisher exact test and Wilcoxon rank sum test. RESULTS: A total of 793 patients fulfilled study criteria. There were no differences in neonatal intensive care unit admissions or 5-min APGAR scores <7 between the two groups. Sixty-eight percent of women who underwent TOLAC (N = 82) had a successful vaginal delivery. The uterine rupture rate was 1.16% (N = 1) in the TOLA2C group with no case of uterine rupture in the ERCD group. No difference in maternal morbidity was noted between the two groups. No maternal or neonatal mortalities occurred in either group. CONCLUSIONS: There was no difference in maternal or neonatal morbidity among patients in our study population with two previous cesarean sections who opted for TOLA2C versus ERCD.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ruptura Uterina / Nascimento Vaginal Após Cesárea Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn / Pregnancy Idioma: En Revista: J Obstet Gynaecol Res Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ruptura Uterina / Nascimento Vaginal Após Cesárea Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn / Pregnancy Idioma: En Revista: J Obstet Gynaecol Res Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos