Perinatal and Maternal Morbidity and Mortality Among Term Singletons Following Midcavity Operative Vaginal Delivery Versus Cesarean Delivery

2018 ◽  
Vol 38 (4) ◽  
pp. 202-203
Author(s):  
G.M. Muraca ◽  
A. Skoll ◽  
S. Lisonkova ◽  
Y. Sabr ◽  
R. Brant ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Operative Vaginal Delivery ◽  
Maternal Morbidity And Mortality

scholarly journals Perinatal and maternal morbidity and mortality after attempted operative vaginal delivery at midpelvic station

2017 ◽  
Vol 189 (22) ◽  
pp. E764-E772 ◽  
Author(s):  
Giulia M. Muraca ◽  
Yasser Sabr ◽  
Sarka Lisonkova ◽  
Amanda Skoll ◽  
Rollin Brant ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Operative Vaginal Delivery ◽  
Maternal Morbidity And Mortality

Outcomes of Operative Vaginal Delivery during Trial of Labor after Cesarean Delivery

2017 ◽  
Vol 34 (08) ◽  
pp. 765-773 ◽  
Author(s):  
Clifton Brock ◽  
Shravya Govindappagari ◽  
Cynthia Gyamfi-Bannerman
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Maternal Morbidity ◽  
Secondary Analysis ◽  
Perinatal Outcomes ◽  
Neonatal Morbidity ◽  
Logistic Regression Models ◽  
Trial Of Labor ◽  
Operative Vaginal Delivery ◽  
Uterine Scar

Objective The objective of this study is to determine the maternal and neonatal morbidity associated with attempting operative vaginal delivery (OVD) compared with the alternative of a laboring repeat cesarean delivery (LRCD) in women attempting a trial of labor after cesarean delivery (TOLAC). Methods This is a secondary analysis of a multicenter prospective study designed to assess perinatal outcomes of OVD in women with a prior uterine scar. The study includes women who attempted TOLAC and reached +2 station with a fully dilated cervix. Composites on neonatal and maternal morbidity were compared between women in whom OVD was attempted and those who underwent LRCD by fitting multivariate logistic regression models. Results In total, 6,489 women attempting TOLAC reached 2+ station with a fully dilated cervix. Of these, 5,640 (86.9%) had a spontaneous vaginal delivery, 762 (11.7%) underwent attempted OVD, and 87 (1.3%) had an LRCD. Compared with attempting OVD, LRCD was associated with greater neonatal morbidity (odds ratio [OR]: 2.41; 95% confidence interval [CI]: 1.13–5.15) and less maternal morbidity (OR: 0.28; 95% CI: 0.14–0.55). Maternal morbidity of OVD is driven by perineal injury. Conclusion In laboring women with a previous uterine scar, attempting OVD is associated with greater maternal and less neonatal morbidity than LRCD.

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