Vaginal delivery after cesarean section

Riva, H.L.; Teich, John C.

doi:10.1016/s0002-9378(15)33666-8

Cited by 67 publications

(20 citation statements)

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“…The success of VBAC in the present study was 85%. This result was comparable with the results of other studies reported by Riva and Teich,[13] Dayal V,[14] Allahabadia,[15] Phelan et al .,[7] and O Sullivan. [16] In our study, the rate of a repeat CS was 15% and commonest indication was fetal distress.…”

Section: Discussionsupporting

confidence: 92%

Vaginal birth after cesarean section

et al. 2013

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Background:The rate of primary cesarean section (CS) is on the rise. More and more women report with a history of a previous CS. A trial of vaginal delivery can save these women from the risk of repeat CS.Aims:The study was conducted to assess the safety and success rate of vaginal birth after CS (VBAC) in selected cases of one previous lower segment CS (LSCS).Materials and Methods:The prospective observational study was carried out in a tertiary care teaching hospital over a period of two years. One hundred pregnant women with a history of one previous LSCS were enrolled in the study.Results:In the present study, 85% cases had a successful VBAC and 15% underwent a repeat emergency LSCS for failed trial of vaginal delivery. Cervical dilatation of more than 3 cm at the time of admission was a significant factor in favor of a successful VBAC. Birth weight of more than 3,000 g was associated with a lower success rate of VBAC. The incidence of scar dehiscence was 2% in the present study. There was no maternal or neonatal mortality.Conclusion:Trial of VBAC in selected cases has great importance in the present era of the rising rate of primary CS especially in rural areas.

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Section: Discussionsupporting

confidence: 92%

Vaginal birth after cesarean section

et al. 2013

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“…21 One possibility is that women with previous cesarean sections who have precipitous premature deliveries are classifi ed as VBAC, even if they had planned to have a repeat cesarean section, which is supported by the higher rates of "successful" VBAC deliveries for infants of very low birth weight when compared with infants of other birth weights. Women who give birth precipitously have less time to receive antenatal steroids that improve neonatal mortality in infants of very low birth weight.…”

Section: Discussionmentioning

confidence: 99%

Vaginal Birth After Cesarean in California: Before and After a Change in Guidelines

Zweifler¹

2006

The Annals of Family Medicine

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PURPOSEIn 1999 the American College of Obstetricians and Gynecologists (ACOG) adopted more-restrictive guidelines for vaginal birth after cesarean delivery (VBAC). This study assesses trends in VBAC in California and compares neonatal and maternal mortality rates among women attempting VBAC delivery or undergoing repeat cesarean delivery before and after this guideline revision. METHODSThe 1996 through 2002 California Birth Statistical Master Files were used to identify 386,232 California residents who previously gave birth by cesarean delivery and had a singleton birth planned in a California hospital.RESULTS Attempted VBAC deliveries decreased signifi cantly from 24% before to 13.5% after guideline revision (P <.001). Neonatal mortality rates per 1,000 live births for attempted VBAC deliveries were not different from repeat cesarean delivery rates among neonates weighing ≥1,500 g in either the study periods 1996 to 1999 or 2000 to 2002. Neonatal mortality rates for attempted VBAC deliveries were higher for repeat cesarean deliveries among neonates weighing <1,500 g in the same periods (attempted VBAC: 1996(attempted VBAC: -1999.2; 95% Poisson confi dence interval [CI], 197.7-308.6;2000 CI, 254.3-419.4; repeat cesarean delivery: 1996-1999 CI, 48.3-69.9;2000). Maternal death rates per 100,000 live births for attempted VBAC deliveries were similar for both periods (1996-1999 CI, 0.1-11.0;2000 CI, 1.0-30.6).CONCLUSIONS Neonatal and maternal mortality rates did not improve despite increasing rates of repeat cesarean delivery during the years after the ACOG 1999 VBAC guideline revision. Women with infants weighing ≥1,500 g encountered similar neonatal and maternal mortality rates with VBAC or repeat cesarean delivery.

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“…Other authors have reported similar results including cases in which oxytocin was used [3,14]. Riva and Teich [15] found, paradoxically, that women with two previous Caesarean sections had more vaginal deliveries than women with one previous Caesarean section. They also found no difference in maternal or fetal mortality whether the subsequent delivery was abdominal or vaginal.…”

Section: Review Of the Published Datamentioning

confidence: 63%