The MFMU Cesarean Registry: Impact of fetal size on trial of labor success for patients with previous cesarean for dystocia

2006 ◽  
Vol 195 (4) ◽  
pp. 1127-1131 ◽  
Author(s):  
Alan M. Peaceman ◽  
Rebecca Gersnoviez ◽  
Mark B. Landon ◽  
Catherine Y. Spong ◽  
Kenneth J. Leveno ◽  
...  
Keyword(s):  
Trial Of Labor ◽  
Fetal Size ◽  
Labor Success ◽  
Previous Cesarean

scholarly journals Maternal and Neonatal Outcomes after Attempted External Cephalic Version among Women with One Previous Cesarean Delivery

2018 ◽  
Vol 08 (04) ◽  
pp. e349-e354 ◽  
Author(s):  
Rodney McLaren ◽  
Fouad Atallah ◽  
Nelli Fisher ◽  
Howard Minkoff
Keyword(s):  
Cesarean Delivery ◽  
Retrospective Cohort ◽  
Adverse Outcomes ◽  
Neonatal Outcomes ◽  
External Cephalic Version ◽  
Multivariable Logistic Regression Analysis ◽  
Success Rates ◽  
Trial Of Labor ◽  
Maternal And Neonatal Outcomes ◽  
Previous Cesarean

Objective This study was aimed to evaluate success rates of (1) external cephalic version (ECV) among women with one prior cesarean delivery (CD) and (2) maternal and neonatal outcomes after ECV among women with prior CD. Study Design Two linked studies using U.S. Natality Database were performed. First we performed a retrospective cohort comparing ECV success rates of women with prior CD and women without prior CD. Then we compared the outcomes of TOLACs (trial of labor after cesarean delivery) that occurred after ECV with those that occurred without ECV. Multivariable logistic regression analysis was used to estimate adverse outcomes. Results A total of 715 women had ECV after 36 weeks with prior CD and 9,976 had ECV without prior scar. ECV success rate with scar was 80.6% and without scar was 86.4% (p < 0.001). Seven hundred and sixteen women underwent TOLAC after ECV attempt and 234,617 underwent TOLAC without a preceding attempt. Women with preceding version had increased risks of maternal transfusion (1 vs. 0.4%, adjusted OR [odds ratio]: 2.48 [95% CI (confidence interval): 1.17–5.23]), unplanned hysterectomy (0.4 vs. 0.06%, adjusted OR: 6.90 [95% CI: 2.19–21.78]), and low 5-minute Apgar's score (2.5 vs. 1.5%, adjusted OR: 1.76 [95% CI: 1.10–2.82]). Conclusion Women with prior CD may have a decrease in the rate of successful ECV. While the absolute risks are low, ECV appears to increase risks of adverse maternal and neonatal outcomes among women undergoing a trial of labor.

Cost-Effectiveness of a Trial of Labor After Previous Cesarean

2001 ◽  
Vol 97 (6) ◽  
pp. 932-941 ◽  
Author(s):  
ANTHONY CHUNG ◽  
ALEX MACARIO ◽  
YASSER Y. EL-SAYED ◽  
EDWARD T. RILEY ◽  
BRADFORD DUNCAN ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Trial Of Labor ◽  
Previous Cesarean
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