Resultados de la aplicación de un protocolo para disminuir la tasa de cesáreas

Aceituno, L.; Segura, M.H.; Quesada, Javier; Rodríguez-Zarauz, R.; Ruiz-Martínez, E.; Barqueros, A.I.; Sánchez, María Teresa

doi:10.1016/s0304-5013(03)75928-7

Cited by 6 publications

(1 citation statement)

References 26 publications

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“…Nonetheless, there are not studies about the application of these models and its impact in their impact in the decrease of complications. The current results indicate that 56-80% of attempted vaginal trial of labor after cesarean section result in a successful vaginal delivery 24,26,27 , which corresponds to our study where the rate of vaginal delivery after a previous cesarean section remains at 58.2%. When analyzing the differences in the vaginal and instrumental delivery rates between the two groups, we found that cesarean delivery was significantly more frequent in the CG (41.8% vs. 22.2%), without finding any significant differences in the type of vaginal delivery, differentiating between normal and instrumental deliveries.…”

Section: Discussionsupporting

confidence: 86%

Attempted vaginal birth after cesarean: assessment of morbidity and predictors of success

García-Jiménez¹,

Valero²,

Weber-Fernandez³

et al. 2023

RECHOG

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Objective: Determining the appropriate approach for delivery after previous cesarean is a very controversial issue. Our objective was to establish whether pregnant women with a previous cesarean have an increased maternal and fetal morbidity and mortality after attempting vaginal delivery as well as to determine which factors may influence the achievement of a vaginal birth after cesarean. Materials and methods: A retrospective observational cohort study including 390 patients (196 cesarean group and 194 nulliparous group) was carried out. We compared neonatal and maternal outcomes between groups. Afterward, a multivariate logistic regression was applied for our second objective. Results: There were higher rates of uterine rupture (2% vs. 0%, p: 0.045) and puerperal hemorrhage (9.7% vs. 3.1%, p: 0.008) in the cesarean group and lower vaginal delivery rate (58.2% vs. 77.8%, p < 0.0005). We found that the induced onset of labor (OR = 2.9) and new born weight (OR = 1.0001) were associated with an increased risk of cesarean section. Conclusions: Our findings stress the need for further investigations in this field, which might provide a basis for a better management of patients with a previous cesarean.

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Section: Discussionsupporting

confidence: 86%