Is vaginal birth after cesarean less expensive than repeat cesarean delivery?

2000 ◽  
Vol 182 (3) ◽  
pp. 599-602 ◽  
Author(s):  
Steven L. Clark ◽  
James R. Scott ◽  
T.Flint Porter ◽  
David A. Schlappy ◽  
Victoria McClellan ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
Repeat Cesarean Delivery

scholarly journals The association of interpregnancy interval and mode of delivery with outcomes among a cohort of Guatemalan women with a history of prior cesarean

2020 ◽  
Author(s):  
Margo Harrison ◽  
Ana Garces ◽  
Lester Figueroa ◽  
Jamie Westcott ◽  
Michael Hambidge ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Mode Of Delivery ◽  
Vaginal Birth ◽  
Delivery Mode ◽  
Interpregnancy Interval ◽  
Vaginal Birth After Cesarean ◽  
Cesarean Birth ◽  
Dilation And Curettage ◽  
History Of ◽  
Repeat Cesarean Delivery

Abstract Design: Our objectives were to analyze how interpregnancy interval (IPI) was associated with delivery mode and how outcomes varied by these characteristics.Methods: This secondary analysis used data from a prospective study conducted in Chimaltenango, Guatemala from January 2017 through April 2020.Results: Of 26,465 Guatemalan women, 3,170 (12.0%) had a history of prior cesarean. 560 (20.1%) women delivered by vaginal birth after cesarean with the remaining 2,233 (79.9%) delivered by repeat cesarean delivery. Repeat cesarean reduced the risk of needing a dilation and curettage compared to vaginal birth after cesarean, but this association did not vary by IPI (AOR 0.01 – 0.03, p < 0.001). Repeat cesarean delivery, as compared to vaginal birth after cesarean, significantly reduced the likelihood a woman breastfeeding within one hour of birth (AOR 0.009 – 0.10, p < 0.001), but IPI was not associated with the outcome. Regarding stillbirth, repeat cesarean birth reduced the likelihood of stillbirth as compared to vaginal birth (AOR 0.2, p = 0.001 – 0.002), but again IPI was not associated with the outcome.Conclusion: Outcomes by mode of delivery among a Guatemalan cohort of women with a history of prior cesarean birth do not vary by IPI.

scholarly journals Maternal and perinatal Outcome with Vaginal Birth After Cesarean in Hebei Province of china: a cross-sectional study

2020 ◽  
Author(s):  
xiaoxiao wang ◽  
YingKui Zhang ◽  
Lu Jia ◽  
Yue Yang ◽  
Li Wang
Keyword(s):  
Cesarean Delivery ◽  
Perinatal Outcome ◽  
Adverse Outcomes ◽  
Vaginal Birth ◽  
Hebei Province ◽  
Near Miss ◽  
Delivery Mode ◽  
Vaginal Birth After Cesarean ◽  
Cross Sectional ◽  
Repeat Cesarean Delivery

Abstract Background In recent decades, cesarean section rate have increased significantly in China. The delivery mode of women with a previous cesarean delivery remains contentious. We conducted a study to analyze the maternal and perinatal outcome of vaginal birth after cesarean or repeat cesarean delivery, in a period the one-child policy convert to the universal two-child policy.Methods We used the data from Maternal Near Miss Surveillance System of Hebei province between 2013 and 2017. In the analysis, we included women with singleton deliveries between 28 and 42 gestation weeks who had a single prior cesarean delivery. We used logistic regression with a robust variance estimator to examine trends in vaginal birth after cesarean. We also assessed the association between vaginal birth after cesarean and maternal and perinatal adverse outcomes.Results 53,769 women with a previous caesarean section deliveries were included from 274,665 of total participants. There were 3,415 (6.4%) women delivered by vaginal birth after cesarean and 50,354 (93.6%) by repeat cesarean delivery. Between 2013 and 2016, the rate of vaginal birth after cesarean showed a upward trend, from 6.2% to 7.0%. But in 2017, it had declined to 5.2%. Compared to women with repeat cesarean delivery, women with vaginal birth after cesarean have lower absolute rates of severe maternal morbidity and mortality, especially significantly in incidence of blood transfusion, but have higher incidence of intrapartum stillbirth, newborns with low 5-minute Apgar score less than 7 and neonatal death.Conclusions Most of maternal adverse outcomes risk of vaginal birth after cesarean was not higher than repeat cesarean delivery, but the risk of perinatal adverse outcomes has increased in vaginal birth after cesarean.

Vaginal birth after cesarean section versus elective repeat cesarean delivery: Weight-based outcomes

2003 ◽  
Vol 188 (6) ◽  
pp. 1516-1522 ◽  
Author(s):  
C.Shannon Carroll ◽  
Everett F. Magann ◽  
Suneet P. Chauhan ◽  
Chad K. Klauser ◽  
John C. Morrison
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
Section Versus ◽  
Elective Repeat Cesarean ◽  
Repeat Cesarean Delivery

scholarly journals 430: The use of a vaginal birth after cesarean delivery prediction tool in patients scheduled for repeat cesarean delivery

2016 ◽  
Vol 214 (1) ◽  
pp. S236-S237
Author(s):  
Nadia N. Kunzier ◽  
Sahar Bilal ◽  
Cheryl Dinglas ◽  
Rose Calixte ◽  
Joseph Cioffi ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Prediction Tool ◽  
Vaginal Birth After Cesarean ◽  
Repeat Cesarean Delivery

scholarly journals Publisher Correction: Understanding Factors Leading to Primary Cesarean Section and Vaginal Birth After Cesarean Delivery in the Friuli-Venezia Giulia Region (North-Eastern Italy), 2005–2015

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
L. Cegolon ◽  
G. Mastrangelo ◽  
G. Maso ◽  
G. Dal Pozzo ◽  
L. Ronfani ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Vaginal Birth After Cesarean ◽  
North Eastern ◽  
Friuli Venezia Giulia

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

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