Vaginal birth after cesarean in women with no prior vaginal delivery carrying a large for gestational age baby

Abstract Background Several maternal characteristics, including lifestyle, have been associated with perinatal outcomes and birth anthropometric characteristics of the offspring. This study aimed to identify whether physical activity (PA) and other lifestyle parameters of the mother are associated with the pregnancy outcomes or with the infant’s birth anthropometric characteristics. Methods Participants were recruited in Mitera Maternity Hospital, Athens, Greece. Socio-demographic, medical history and anthropometric assessment took place. PA during pregnancy was assessed with the Pregnancy Physical Activity Questionnaire. Dietary assessment was conducted with the Food Frequency Questionnaire and adherence to the Mediterranean diet was evaluated with the MedDiet score. Birth weight and gestational age data were also collected. Results Sedentary-intensity activity scores increased with increased educational level, while moderate-intensity activity scores decreased with increased educational level. Pregnant women who delivered large for gestational age infants had lower sports activity score. Higher vigorous and sports activity score was demonstrated in cases with a vaginal delivery compared with caesarean section. PA score was significantly and positively correlated with several nutrient intakes and PA was higher in women with a healthier nutritional pattern. Increased MedDiet scores were found in mothers with increased educational level. Conclusions Overall, PA was higher in women with a healthier nutritional pattern. An increased vs. a low activity level during pregnancy is positively associated with vaginal delivery and with the size of the offspring.

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IS VAGINAL BIRTH AFTER CESAREAN (VBAC) OR ELECTIVE REPEAT CESAREAN SAFER IN WOMEN WITH A PRIOR VAGINAL DELIVERY?

Journal of Midwifery & Women s Health ◽

10.1016/j.jmwh.2006.10.017 ◽

2007 ◽

Vol 52 (1) ◽

pp. 81-81

Author(s):

Carol A. Snapp

Keyword(s):

Vaginal Delivery ◽

Vaginal Birth ◽

Vaginal Birth After Cesarean ◽

Elective Repeat Cesarean

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Is vaginal birth after cesarean (VBAC) or elective repeat cesarean safer in women with a prior vaginal delivery?

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2006.06.045 ◽

2006 ◽

Vol 195 (4) ◽

pp. 1143-1147 ◽

Cited By ~ 72

Author(s):

Alison G. Cahill ◽

David M. Stamilio ◽

Anthony O. Odibo ◽

Jeffrey F. Peipert ◽

Sarah J. Ratcliffe ◽

...

Keyword(s):

Vaginal Delivery ◽

Vaginal Birth ◽

Vaginal Birth After Cesarean ◽

Elective Repeat Cesarean

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Prediction of successful vaginal birth after cesarean in women with diabetic disorders and no prior vaginal delivery

International Journal of Gynecology & Obstetrics ◽

10.1002/ijgo.13736 ◽

2021 ◽

Author(s):

Gabriel Levin ◽

Abraham Tsur ◽

Lee Tenenbaum ◽

Nizan Mor ◽

Michal Zamir ◽

...

Keyword(s):

Vaginal Delivery ◽

Vaginal Birth ◽

Vaginal Birth After Cesarean

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Effect of Prior Vaginal Delivery or Prior Vaginal Birth After Cesarean Delivery on Obstetric Outcomes in Women Undergoing Trial of Labor

Obstetrics and Gynecology ◽

10.1097/01.aog.0000134784.09455.21 ◽

2004 ◽

Vol 104 (2) ◽

pp. 273-277 ◽

Cited By ~ 52

Author(s):

Israel Hendler ◽

Emmanuel Bujold

Keyword(s):

Cesarean Delivery ◽

Vaginal Delivery ◽

Vaginal Birth ◽

Obstetric Outcomes ◽

Vaginal Birth After Cesarean ◽

Trial Of Labor

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The Outcomes of Gestational Diabetes Mellitus after a Telecare Approach Are Not Inferior to Traditional Outpatient Clinic Visits

International Journal of Endocrinology ◽

10.1155/2010/386941 ◽

2010 ◽

Vol 2010 ◽

pp. 1-6 ◽

Cited By ~ 62

Author(s):

Natalia Pérez-Ferre ◽

Mercedes Galindo ◽

M. Dolores Fernández ◽

Victoria Velasco ◽

Isabelle Runkle ◽

...

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Vaginal Delivery ◽

Gestational Age ◽

Outpatient Clinic ◽

Large For Gestational Age ◽

Normal Vaginal Delivery ◽

Telemedicine System ◽

Clinic Visits

Objective. To evaluate the feasibility of a telemedicine system based on Internet and a short message service in pregnancy and its influence on delivery and neonatal outcomes of women with gestational diabetes mellitus (GDM).Methods. 100 women diagnosed of GDM were randomized into two parallel groups, a control group based on traditional face-to-face outpatient clinic visits and an intervention group, which was provided with a Telemedicine system for the transmission of capillary glucose data and short text messages with weekly professional feedback. 97 women completed the study (48/49, resp.).Main Outcomes Measured. The percentage of women achieving HbA1c values <5.8%, normal vaginal delivery and having a large for-gestational-age newborn were evaluated.Results. Despite a significant reduction in outpatient clinic visits in the experimental group, particularly in insulin-treated women (2.4 versus 4.6 hours per insulin-treated woman resp.;P<.001), no significant differences were found between the experimental and traditional groups regarding HbA1c levels (all women had HbA1c <5.8% during pregnancy), normal vaginal delivery (40.8% versus 54.2%, resp.;P>.05) and large-for-gestational-age newborns (6.1% versus 8.3%, resp.;P>.05).Conclusions. The system significantly reduces the need for outpatient clinic visits and achieves similar pregnancy, delivery, and newborn outcomes.

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Establishment of an antepartum predictive scoring model to identify candidates for vaginal birth after cesarean

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03231-0 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Qiuping Liao ◽

Jinying Luo ◽

Lianghui Zheng ◽

Qing Han ◽

Zhaodong Liu ◽

...

Keyword(s):

Confidence Interval ◽

Vaginal Delivery ◽

Area Under The Curve ◽

Vaginal Birth ◽

Vaginal Birth After Cesarean ◽

Scoring Model ◽

Puerperal Infection ◽

Kappa Value ◽

Gestational Age At Delivery ◽

Adverse Pregnancy

Abstract Background Evidence-based medicine has shown that successful vaginal birth after cesarean (VBAC) is associated with fewer complications than an elective repeat cesarean. Although spontaneous vaginal births and reductions in cesarean delivery (CD) rates have been advocated, the risk factors for VBAC complications remain unclear and failed trials of labor (TOL) can lead to adverse pregnancy outcomes. Methods To construct an antepartum predictive scoring model for VBAC. Retrospective analysis of charts from 1062 women who underwent TOL at no less than 28 gestational weeks with vertex singletons and no more than one prior CD. Results We constructed our scoring model based on the following variables: maternal age, previous vaginal delivery, interdelivery interval (time between prior cesarean and the following delivery), presence of prior cesarean TOL, dystocia as prior CD indication, intertuberous diameter, maternal predelivery body mass index, gestational age at delivery, estimated fetal weight, and hypertensive disorders. Previous vaginal delivery was the most influential variable. The nomogram showed an area under the curve of 77.7% (95% confidence interval, 73.8–81.5%; sensitivity, 78%; specificity, 70%; cut-off, 13 points). The Kappa value to judge the consistency of the results between the predictive model and the actual results was 0.71(95% confidence interval 0.65–0.77) indicating strong consistency. We used the cut-off to divide the VBAC women into two groups according to the success of the TOL. The maternal and neonatal outcomes such as labor time, number of deliveries by midwives, postpartum hemorrhage, uterine rupture, neonatal asphyxia, puerperal infection were significantly different between the two groups. Conclusions Our predictive scoring model incorporates easily ascertainable variables and can be used to personalize antepartum counselling for successful TOLs after cesareans.

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