Vaginal birth after Cesarean section and levator ani avulsion: a case–control study

Author(s):  
L. Paymova ◽  
K. Svabik ◽  
A. Neumann ◽  
V. Kalis ◽  
K. M. Ismail ◽  
...  
2013 ◽  
Vol 208 (3) ◽  
pp. 229.e1-229.e5 ◽  
Author(s):  
Ibrahim A. Hammad ◽  
Suneet P. Chauhan ◽  
Robert B. Gherman ◽  
Joseph G. Ouzounian ◽  
James B. Hill ◽  
...  

2018 ◽  
Vol 46 (3) ◽  
pp. 309-316 ◽  
Author(s):  
Moritz Döbert ◽  
Aleke Brandstetter ◽  
Wolfgang Henrich ◽  
Tamina Rawnaq ◽  
Hendrik Hasselbeck ◽  
...  

AbstractAim:To compare the efficacy and safety of the misoprostol vaginal insert (MVI) with an off-label use of oral misoprostol (OM).Methods:Pair-matched case-control study comparing the induction of labor with a retrievable MVI to OM. The primary outcomes were the time from induction to delivery and the cesarean section rate. Secondary outcomes included uterine tachysystole, tocolysis, fetal scalp blood testing, meconium-stained amniotic fluid, umbilical arterial pH, and Apgar score.Results:One hundred and thirty eight women ≥37/0 weeks pregnant undergoing labor induction with misoprostol were included. The mean time from application to delivery was significantly shorter and the caesarean section rate significantly higher in the MVI group (P<0.01) with an odds ratio of 2.75 (95% CI: 1.21–6.25) in favor of vaginal delivery in the OM group. The mean 5-min Apgar scores and arterial cord pH values were significantly lower in the MVI group. An arterial pH value of 7.10–7.19 was found in 26.1% and 15.9%, and a value <7.10 was found in 4.3% and 0% of MVI and OM cases, respectively.Conclusion:The MVI compared with OM significantly shortened the time from application to delivery at the expense of a higher cesarean section rate and negative effects on neonatal outcomes.


Author(s):  
Rosa Bertha Gutarra-Vilchez ◽  
Joselyne Gutarra-Samn ◽  
Teodardo Campos-Solrzano ◽  
Cilia Mejia-Lancheros

Author(s):  
Reut Rotem ◽  
Miriam Erenberg ◽  
Misgav Rottenstreich ◽  
David Segal ◽  
Zehava Yohay ◽  
...  

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