Outcome of subsequent delivery after a previous early preterm cesarean section

Kwee, Anneke; Smink, Marieke; Laar, Rafli Van Der; Bruinse, Hein W.

doi:10.1080/14767050601036527

Cited by 21 publications

(16 citation statements)

References 14 publications

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“…2,3 Birth by caesarean delivery is generally more hazardous than a normal vaginal delivery, and also poses more risks for subsequent pregnancies. 4,5 Therefore, it is hypothesized that prediction of the success rate of induction of labour might lead to a reduction in caesarean delivery and there by its complications. The relation between clinical state of cervix and spontaneous onset of labour has been known for many years.…”

Section: Introductionmentioning

confidence: 99%

Incidence of cesarean delivery after induction of labour with dinoprostone gel at term in nulliparous women with unfavourable bishops score

Mehta¹,

Kumar²,

Fathepuriya³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: The aim of induction of labour is to achieve vaginal delivery in advance of the normal timing of parturition and to avoid operative delivery. The objective was to study the incidence of instrumental delivery and cesarean section in nulliparous women with unfavourable bishops score at term.Methods: This study was conducted on 200 patients in nulliparous women with unfavourable bishop score, cephalic presentation and no previous history of abortion.Results: The most frequent cause of induction of labour was postdatism (47.5%) followed by PIH (25.5%) and PROM (13%). 143 (71.5%) women had normal vaginal delivery whereas in 54 women (27%) cesarean section was done. 2 women (1%) had forceps application for delivery and remaining 1 women (0.5%) had ventouse delivery. Out of 200 patients 9 had maternal complication of induction of labour.Conclusions: In present study 71.5% women had normal vaginal delivery, 27% had cesarean section. Mean bishop score at induction was 3.31 which improved to 4.0 after 12 hours of gel instillation. The mean induction to delivery interval was 13.38 hrs in present study, 54.5% patients were delivered within 12 hours of gel instillation in this study. Most common indication of cesarean section was failed progress followed by fetal distress.

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Section: Introductionmentioning

confidence: 99%

Incidence of cesarean delivery after induction of labour with dinoprostone gel at term in nulliparous women with unfavourable bishops score

Mehta¹,

Kumar²,

Fathepuriya³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…Several additional studies found no heightened uterine rupture risk after preterm cesarean(13-15), though some studies were limited by relatively small cohort sizes(13, 14). Harper et al compared uterine rupture risk after cesarean delivery before or after 34 weeks of gestation and found no difference in risk among women undergoing a subsequent trial of labor.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies suggest increased risk of subsequent rupture after preterm cesarean delivery, estimating between a 1.6 and 5 fold increase(11, 12), while other studies show no association(13-15). The specific risk for uterine rupture after cesarean delivery at periviability remains unknown.…”

Section: Introductionmentioning

confidence: 99%

Uterine Rupture Risk After Periviable Cesarean Delivery

Lannon

Guthrie

Vanderhoeven

et al. 2015

Obstetrics &Amp; Gynecology

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Objective To compare risk of uterine rupture in women with prior periviable cesarean versus prior term cesarean, independent of initial incision type. Methods We conducted a retrospective longitudinal cohort study using Washington State birth certificate data and hospital discharge records, identifying primary cesareans performed at 20-26 weeks and 37-41 weeks of gestation with subsequent delivery between 1989-2008. We compared subsequent uterine rupture risk in the two groups considering both primary incision type and subsequent labor indication and augmentation. Results We identified 456 women with index periviable cesarean and 10,505 women with index term cesarean. Women with index periviable cesarean were younger, more frequently of non-white race, more likely to smoke, and more likely to have hypertension. Women in the periviable group had more index classical incisions (42% versus 1%, p<0.001) and fewer subsequent inductions and augmentations (8% vs. 16%, p<0.001). Uterine rupture in the subsequent pregnancy occurred more frequently among women in the index periviable group than those in the index term group (8/456 [1.8%] versus 38/10,505 [0.4%], OR 4.9, 95% CI 2.3-10.6). This relationship persisted among women with a low transverse incision (4/228 [1.8%] versus 36/9,558 [0.4%], OR 4.7, 95% CI1.7 – 13.4). Conclusion Cesarean at periviability compared to term is associated with an increased risk for uterine rupture in a subsequent pregnancy, even after low transverse incision. These data support judicious use of cesarean at periviable gestational ages and inform subsequent counseling.

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“…However Kwee (2007) and Rochelson (2005) noted that pre-term casearean section, even if a transverse incision, was a risk factor for uterine rupture. Our VBAC rate (82.4%) compares favourably.…”

Section: Midwestern Regional Maternity Hospital Limerickmentioning

confidence: 96%

Four Provinces/JOGS Annual Scientific Meeting 2008

2009

Ir J Med Sci

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Pregnancy after endometrial ablation is not common but few have been reported. It is associated with increase morbidity and mortality.Ours is a case of successful outcome without complication. A 38-year-old gravida 4 para 3 lady booked at 24 weeks gestation in Portiuncula in March 2008. It is an unplanned pregnancy. She had three previous spontaneous vagina deliveries at term. Her last delivery was complicated with secondary PPH due to retained products and had ERPC done at which uterus was perforated.She had thermal balloon endometrial ablation in 2006 for menorrhagia which was effective. She booked with us 2 years after with unplanned pregnancy.The pregnancy was uneventful till 36 weeks when she came in with SROM and breech presentation. She had a caesarean section the following morning and was uneventful.Conclusion Incidence of pregnancy after endometrial ablation is less than 0.7% and successful out come is much rarer. However, with second generation techniques of endometrial ablation, we might as well see more of this outcome in reproductive age group women. The need for effective contraception cannot therefore be overemphasised.Study to assess the average gestational age at a booking clinic and interval time between GP referral and attendance.Prospective study to estimate the gestational age at booking. All women that attended public booking clinic in PHB from 01 February 2008 to 30 April 2008 have estimated gestational age by ultra sound. Date on referral letter from GP used to calculate the interval of the visit to GP and booking.The CEMACH report 2007CEMACH report (2003CEMACH report -2005 concluded that late booking increased maternal morbidity and mortality. It recommended that each obstetric unit should assess percentage of women booking by 12 weeks as of 08 April and target 80% by December 2009. A total of 306 pregnant public patients were included. One hundred and four women (34%) were 12 weeks or less, 155 (50%) women were booked between 13 and 17 weeks, 24 (8%) between 18 and 22 weeks and 23 (8%) were over 22 weeks. Sixty-seven women (22%) visited their GP beyond 12 weeks, 37(55%) of them were seen within 2 weeks of referral, the rest (45%) were seen after more than 2 weeks. The average interval between GP visit and booking visit was 4.5 weeks for all women.There is a need for improved liaison with GPs to increase early booking and attain the target of 80% by December 2009. Women more than 12 weeks pregnant should have the priority for urgent appointment. Listeria awareness amongst recently delivered mothersListeriosis is a rare disease caused by ingestion of infected food. Pregnant women have increased susceptibility to infection with listeria, which can have serious consequences for the baby such as intrauterine fetal death and neonatal sepsis. Our aim is to evaluate the level of knowledge of recently delivered mothers regarding listeria infection and its potential prevention.This is a prospective questionnaire study of recently delivered mothers in the postnatal ward.Six hundred and twenty-ni...

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Outcome of subsequent delivery after a previous early preterm cesarean section

Abstract: In this small series of women with a previous early preterm cesarean section the VBAC rate was high (61.1%) and the uterine rupture rate was 1.1%.

Cited by 21 publications

References 14 publications

Incidence of cesarean delivery after induction of labour with dinoprostone gel at term in nulliparous women with unfavourable bishops score

Incidence of cesarean delivery after induction of labour with dinoprostone gel at term in nulliparous women with unfavourable bishops score

Uterine Rupture Risk After Periviable Cesarean Delivery

Four Provinces/JOGS Annual Scientific Meeting 2008

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