Higher risk of hemorrhage and maternal morbidity in vaginal birth after second stage of labor C-section

Lauterbach, Roy; David, Chen Ben; Bachar, Gal; Khatib, Nizar; Divon, Michael Y.; Zipori, Yaniv; Beloosesky, Ron; Weiner, Zeev; Ginsberg, Yuval

doi:10.1007/s00404-021-06254-w

Cited by 2 publications

(3 citation statements)

References 33 publications

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“…In addition, previous CD was found to be associated with increased risk for the maternal composite outcome. This is in accordance with what is known in the literature, that women with a previous CD are more likely to receive blood transfusions and have a higher drop in hemoglobin levels following a vaginal delivery after CD than women delivering vaginally without a previous CD, 24 and also have higher rates of repeat CD than women without a history of previous CD. 25 Our study has several limitations.…”

Section: Ta B L E 2 Maternal Outcomessupporting

confidence: 92%

Maternal and neonatal outcomes following induction of labor for fetal growth restriction: Extra‐amniotic balloon versus prostaglandins

Hochberg

Amikam

Krispin

et al. 2022

Intl J Gynecology & Obste

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Fetal growth restriction (FGR) is associated with increased risk for adverse perinatal outcomes, including intrauterine fetal death, and neonatal morbidity and mortality. 1,2 In addition, previous studies have shown an increased risk for cesarean delivery (CD) for fetal indications 3 in women with small-for-gestational-age (SGA) neonates compared with appropriately grown neonates. Timing of scheduled delivery varies in pregnancies with FGR depending on additional risk factors. In case of isolated FGR, delivery is usually scheduled between 38 +0 to 39 +6 weeks of pregnancy,

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Section: Ta B L E 2 Maternal Outcomessupporting

confidence: 92%

Maternal and neonatal outcomes following induction of labor for fetal growth restriction: Extra‐amniotic balloon versus prostaglandins

Hochberg

Amikam

Krispin

et al. 2022

Intl J Gynecology & Obste

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“…It has been well established that cesarean birth is a common risk factor for atonic PPH, and this risk also appears increased after trial of labor after cesarean birth (TOLAC) [9]. A recent large retrospective cohort study assessed risk of atonic PPH among people attempting TOLAC compared to people attempting labor with an unscarred uterus.…”

Section: Risk Factorsmentioning

confidence: 99%

“…This study of 1455 pregnant patients showed a significantly higher incidence of uterine atony, PPH, and blood transfusion after TOLAC. This risk was highest for patients whose indication for prior cesarean was second stage arrest [9].…”

Section: Risk Factorsmentioning

confidence: 99%

Uterine atony

Miller

Ansari

2022

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of reviewPostpartum hemorrhage (PPH) is the leading preventable cause of maternal morbidity and mortality worldwide. Uterine atony is identified as the underlying etiology in up to 80% of PPH. This serves as a contemporary review of the epidemiology, risk factors, pathophysiology, and treatment of uterine atony.Recent findingsRates of postpartum hemorrhage continue to rise worldwide with the largest fraction attributed to uterine atony. A simple 0–10 numerical rating score for uterine tone was recently validated for use during cesarean delivery and may allow for more standardized assessment in clinical and research settings. The optimal prophylactic dose of oxytocin differs depending on the patient population, but less than 5 units and as low as a fraction of one unit is needed for PPH prevention, with an increased requirements within that range for cesarean birth, those on magnesium, and advanced maternal age. Carbetocin is an appropriate alternative to oxytocin. Misoprostol shows limited to no efficacy for uterine atony in recent studies. Several uncontrolled case studies demonstrate novel mechanical and surgical interventions for treating uterine atony.SummaryThere is a critical, unmet need for contemporary, controlled studies to address the increasing threat of atonic PPH.

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Higher risk of hemorrhage and maternal morbidity in vaginal birth after second stage of labor C-section

Cited by 2 publications

References 33 publications

Maternal and neonatal outcomes following induction of labor for fetal growth restriction: Extra‐amniotic balloon versus prostaglandins

Maternal and neonatal outcomes following induction of labor for fetal growth restriction: Extra‐amniotic balloon versus prostaglandins

Uterine atony

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