Maternal and perinatal Outcome with Vaginal Birth After Cesarean in Hebei Province of china: a cross-sectional study

Abstract Background In recent decades, cesarean section rate have increased significantly in China. The delivery mode of women with a previous cesarean delivery remains contentious. We conducted a study to analyze the maternal and perinatal outcome of vaginal birth after cesarean or repeat cesarean delivery, in a period the one-child policy convert to the universal two-child policy.Methods We used the data from Maternal Near Miss Surveillance System of Hebei province between 2013 and 2017. In the analysis, we included women with singleton deliveries between 28 and 42 gestation weeks who had a single prior cesarean delivery. We used logistic regression with a robust variance estimator to examine trends in vaginal birth after cesarean. We also assessed the association between vaginal birth after cesarean and maternal and perinatal adverse outcomes.Results 53,769 women with a previous caesarean section deliveries were included from 274,665 of total participants. There were 3,415 (6.4%) women delivered by vaginal birth after cesarean and 50,354 (93.6%) by repeat cesarean delivery. Between 2013 and 2016, the rate of vaginal birth after cesarean showed a upward trend, from 6.2% to 7.0%. But in 2017, it had declined to 5.2%. Compared to women with repeat cesarean delivery, women with vaginal birth after cesarean have lower absolute rates of severe maternal morbidity and mortality, especially significantly in incidence of blood transfusion, but have higher incidence of intrapartum stillbirth, newborns with low 5-minute Apgar score less than 7 and neonatal death.Conclusions Most of maternal adverse outcomes risk of vaginal birth after cesarean was not higher than repeat cesarean delivery, but the risk of perinatal adverse outcomes has increased in vaginal birth after cesarean.

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The association of interpregnancy interval and mode of delivery with outcomes among a cohort of Guatemalan women with a history of prior cesarean

10.21203/rs.3.rs-52175/v1 ◽

2020 ◽

Author(s):

Margo Harrison ◽

Ana Garces ◽

Lester Figueroa ◽

Jamie Westcott ◽

Michael Hambidge ◽

...

Keyword(s):

Cesarean Delivery ◽

Mode Of Delivery ◽

Vaginal Birth ◽

Delivery Mode ◽

Interpregnancy Interval ◽

Vaginal Birth After Cesarean ◽

Cesarean Birth ◽

Dilation And Curettage ◽

History Of ◽

Repeat Cesarean Delivery

Abstract Design: Our objectives were to analyze how interpregnancy interval (IPI) was associated with delivery mode and how outcomes varied by these characteristics.Methods: This secondary analysis used data from a prospective study conducted in Chimaltenango, Guatemala from January 2017 through April 2020.Results: Of 26,465 Guatemalan women, 3,170 (12.0%) had a history of prior cesarean. 560 (20.1%) women delivered by vaginal birth after cesarean with the remaining 2,233 (79.9%) delivered by repeat cesarean delivery. Repeat cesarean reduced the risk of needing a dilation and curettage compared to vaginal birth after cesarean, but this association did not vary by IPI (AOR 0.01 – 0.03, p < 0.001). Repeat cesarean delivery, as compared to vaginal birth after cesarean, significantly reduced the likelihood a woman breastfeeding within one hour of birth (AOR 0.009 – 0.10, p < 0.001), but IPI was not associated with the outcome. Regarding stillbirth, repeat cesarean birth reduced the likelihood of stillbirth as compared to vaginal birth (AOR 0.2, p = 0.001 – 0.002), but again IPI was not associated with the outcome.Conclusion: Outcomes by mode of delivery among a Guatemalan cohort of women with a history of prior cesarean birth do not vary by IPI.

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Correlation of Obesity with External Cephalic Version Success among Women with One Previous Cesarean Delivery

American Journal of Perinatology Reports ◽

10.1055/s-0040-1715173 ◽

2020 ◽

Vol 10 (03) ◽

pp. e324-e329

Author(s):

Rodney McLaren ◽

Fouad Atallah ◽

Nelli Fisher ◽

Howard Minkoff

Keyword(s):

Success Rate ◽

Cesarean Delivery ◽

Adverse Outcomes ◽

External Cephalic Version ◽

Obese Women ◽

Success Rates ◽

Cross Sectional ◽

The Relationship ◽

Repeat Cesarean Delivery ◽

Previous Cesarean

Abstract Objective Our aim was to assess the correlation of body mass index (BMI) with the success rate of external cephalic version (ECV) among women with one prior cesarean delivery. Study Design A cross-sectional study of pregnant women with one previous cesarean delivery who underwent ECV. The relationship between BMI and success rate of ECV was assessed. Adverse outcomes were also compared between women with an ECV attempt, and women who had a repeat cesarean delivery. Data were extracted from the U.S. Natality Database from 2014 to 2017. Pearson's correlation coefficient was performed to assess the relationship between BMI and success rate of ECV. Results There were 2,329 women with prior cesarean delivery underwent an ECV attempt. The success rate of ECV among the entire cohort was 68.3%. There was no correlation between BMI and success rate of ECV (r = 0.024, p = 0.239). Risks of adverse maternal and neonatal outcomes were similar between the ECV attempt group and the repeat cesarean delivery group. Conclusion There was no correlation of BMI with the rate of successful ECV among women with one prior cesarean delivery. Given the similar success rates of ECV and adverse outcomes, obese women with one prior cesarean delivery should be offered ECV.

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MATERNAL WEIGHT;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.02.505 ◽

2017 ◽

Vol 24 (02) ◽

pp. 263-266

Author(s):

Sana Zahiruddin ◽

Pushpa Chetan Malhi ◽

Nigar Jabeen ◽

Raheela Baloch

Keyword(s):

Cesarean Delivery ◽

Maternal Obesity ◽

Cross Sectional Study ◽

Vaginal Birth ◽

University Hospital ◽

P Value ◽

Maternal Weight ◽

Vaginal Birth After Cesarean ◽

Cross Sectional ◽

Study Results

Impact of maternal weight on success of VBAC. Introduction: WorldwideCesarean section is the commonest obstetrical procedure to be performed and same situationis in Pakistan. One strategy is to offer vaginal birth after cesarean section to reduce the alarmingcesarean rate. Many factors have been Identified which can affect success of trial of labor.Maternal weight has an important relation with the reproductive health of women, as obesityduring pregnancy is associated with increased maternal and fetal risk. Maternal obesity hasbeen shown to be associated with increased rates of primary cesarean delivery and failed trialof vaginal birth after cesarean delivery. Objectives: To determine the effect of maternal weighton success of VBAC. Study Design: Cross sectional study. Period: May 2012 to October 2013.Setting: Liaquat university hospital, Hyderabad. Material and Methods: a total of 96 womenwhich fulfilled the selection criteria were included in the study. Results: The women included inthe study had a mean age of SD (range), 29.94+ 4.41 (20-40 years) successful vaginal birthswas observed in 57(59.4%) women and 39(40.6%) had an emergency repeat cesarean delivery.Body mass index was noted among all the women, 23(24.0%) were obese and 73 (76.0%)were non-obese. Out of 23(24.0), 7(30.4%) had successful VBAC and 16(69.6%) women hadsuccessful trial of labor and 23(31.5%) delivered by repeat Caesarean delivery. (P.0.002) P value= 0.001 is statistically significant and calculated by Fisher’s exact X2 test. Conclusions: Obesityis associated with decreased chances of successful VBAC, making it a risky option for obesewomen.

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