| Online-Ressource |
Verfasst von: | Kehl, Sven [VerfasserIn]  |
| Düster, Hanna [VerfasserIn]  |
| Weiß, Christel [VerfasserIn]  |
| Bader, Simon [VerfasserIn]  |
| Schneider, Michael [VerfasserIn]  |
| Beckmann, Matthias W. [VerfasserIn]  |
| Dammer, Ulf [VerfasserIn]  |
| Pretscher, Jutta [VerfasserIn]  |
Titel: | Trial of labor after caesarean section in low risk pregnancies |
Titelzusatz: | is it risky? |
Verf.angabe: | Sven Kehl, Hanna Düster, Christel Weiss, Simon Bader, Michael Schneider, Matthias W. Beckmann, Ulf Dammer, Jutta Pretscher |
E-Jahr: | 2024 |
Jahr: | 29 August 2024 |
Umfang: | 7 S. |
Fussnoten: | Gesehen am 20.09.2024 |
Titel Quelle: | Enthalten in: Archives of gynecology and obstetrics |
Ort Quelle: | Berlin : Springer, 1870 |
Jahr Quelle: | 2024 |
Band/Heft Quelle: | (2024), Seite 1-7 |
ISSN Quelle: | 1432-0711 |
Abstract: | Purpose: To evaluate the influence of a previous caesarean section on adverse composite maternal and perinatal outcome in women who attempted a trial of labor. Methods: This historical cohort study analyzed maternal and perinatal outcome in women with otherwise low risk pregnancies at term who underwent a trial of labor after a caesarean section (TOLAC). The primary outcome measure was the adverse composite outcome. Secondary outcome measures were amongst others the caesarean section rate and the mode of vaginal delivery. Results: The adverse composite outcome was more frequently in the previous caesarean section group compared to women with no previous caesarean Sect. (22.3% vs. 15.6%, p < 0.0001). The percentage of caesarean Sect. (15.4% vs. 8.2%, p < 0,0001), uterine rupture (1.0% vs. 0.02%, p < 0.0001), placental abruption (1.1% vs. 0.3%, p = 0.0014), vaginal operative delivery (16.0% vs. 8.6%, p < 0.0001), pH < 7.10 (3.7% vs. 2.5%, p = 0.0151), base excess < -12 (3.2% vs. 2.2%, p = 0.0297), abnormal cardiotocography (22.5% vs. 13.9%, p < 0,0001) and fetal blood analysis (6.2% vs. 2.6%, p < 0.0001) was significantly higher in women with a previous caesarean section. Taking the parity into account, these differences could only been seen in women without a previous vaginal delivery. In parous women with a previous vaginal delivery and a caesarean section in history, the adverse composite did not differ between the groups. Only the rate of pH < 7.1 was higher in women after a caesarean Sect. (4.5% vs. 1.8%, p = 0.0436). Conclusion: Trial of labor after caesarean in otherwise low risk pregnancies is associated with a higher rate of complications especially if there is no history of vaginal delivery. |
DOI: | doi:10.1007/s00404-024-07700-1 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1007/s00404-024-07700-1 |
| DOI: https://doi.org/10.1007/s00404-024-07700-1 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Caesarean section rate |
| Composite adverse outcome |
| Medical Ethics |
| Prior caesarean section |
| TOLAC |
| Uterine rupture |
| VBAC |
K10plus-PPN: | 1903059879 |
Verknüpfungen: | → Zeitschrift |
Trial of labor after caesarean section in low risk pregnancies / Kehl, Sven [VerfasserIn]; 29 August 2024 (Online-Ressource)