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

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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How birth outcomes among a cohort of Guatemalan women with a history of prior cesarean vary by mode or birth across different interpregnancy intervals

Reproductive Health ◽

10.1186/s12978-021-01153-4 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Margo S. Harrison ◽

Ana Garces ◽

Lester Figueroa ◽

Jamie Westcott ◽

Michael Hambidge ◽

...

Keyword(s):

Mode Of Delivery ◽

Secondary Analysis ◽

Vaginal Birth ◽

Global Network ◽

Vaginal Birth After Cesarean ◽

Cesarean Birth ◽

Dilation And Curettage ◽

History Of ◽

Interpregnancy Intervals ◽

Hospital Births

Abstract Objectives Our objectives were to analyze how pregnancy outcomes varied by cesarean birth as compared to vaginal birth across varying interpregnancy intervals (IPI) and determine if IPI modified mode of birth. Methods This secondary analysis used data from a prospective registry of home and hospital births in Chimaltenango, Guatemala from January 2017 through April 2020, through the Global Network for Women’s and Children’s Health Research. Bivariate comparisons and multivariable logistic regression were used to answer our study question, and the data was analyzed with STATA software v.15.1. Results Of 26,465 Guatemalan women enrolled in the registry, 2794 (10.6%) 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. 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, all p-values > p = 0.05. Repeat cesarean delivery, as compared to vaginal birth after cesarean, significantly reduced the likelihood a woman breastfeeding within one hour of birth (AOR ranged from 0.009 to 0.10), 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), 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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How birth outcomes among a cohort of Guatemalan women with a history of prior cesarean vary by mode or birth across different interpregnancy intervals

10.21203/rs.3.rs-52175/v2 ◽

2021 ◽

Author(s):

Margo Harrison ◽

Ana Garces ◽

Lester Figueroa ◽

Jamie Westcott ◽

Michael Hambidge ◽

...

Keyword(s):

Mode Of Delivery ◽

Secondary Analysis ◽

Vaginal Birth ◽

Global Network ◽

Vaginal Birth After Cesarean ◽

Cesarean Birth ◽

Dilation And Curettage ◽

History Of ◽

Interpregnancy Intervals ◽

Hospital Births

Abstract Objectives: Our objectives were to analyze how pregnancy outcomes varied by cesarean birth as compared to vaginal birth across varying interpregnancy intervals (IPI).Methods: This secondary analysis used data from a prospective registry of home and hospital births in Chimaltenango, Guatemala from January 2017 through April 2020, through the Global Network for Women’s and Children’s Health Research. Bivariate comparisons and multivariable modeling was used to answer our study question, and the data was analyzed with STATA software v.15.1.Results: Of 26,465 Guatemalan women enrolled in the registry, 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. 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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Maternal and perinatal Outcome with Vaginal Birth After Cesarean in Hebei Province of china: a cross-sectional study

10.21203/rs.2.21454/v1 ◽

2020 ◽

Author(s):

xiaoxiao wang ◽

YingKui Zhang ◽

Lu Jia ◽

Yue Yang ◽

Li Wang

Keyword(s):

Cesarean Delivery ◽

Perinatal Outcome ◽

Adverse Outcomes ◽

Vaginal Birth ◽

Hebei Province ◽

Near Miss ◽

Delivery Mode ◽

Vaginal Birth After Cesarean ◽

Cross Sectional ◽

Repeat Cesarean Delivery

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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Respiratory morbidity in twins by birth order, gestational age and mode of delivery

Journal of Perinatal Medicine ◽

10.1515/jpm-2015-0404 ◽

2016 ◽

Vol 44 (8) ◽

Cited By ~ 7

Author(s):

Katja Bricelj ◽

Natasa Tul ◽

Mateja Lasic ◽

Andreja Trojner Bregar ◽

Ivan Verdenik ◽

...

Keyword(s):

Birth Order ◽

Cesarean Delivery ◽

Gestational Age ◽

Mode Of Delivery ◽

Age Groups ◽

Assisted Ventilation ◽

Vaginal Birth ◽

National Database ◽

Respiratory Morbidity ◽

Cesarean Birth

AbstractObjective:To evaluate the relationship between respiratory morbidity in twins by gestational age, birth order and mode of delivery.Methods:All twin deliveries at <37 weeks, registered in a national database, in the period 2003–2012 were classified into four gestational age groups: 33–36, 30–32, 28–29, and <28 weeks. Outcome variables included transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS) and need for assisted ventilation.Results:A total of 1836 twins were born vaginally, and 2142 twins were born by cesarean delivery, for a grand total of 3978 twins. TTN did not appear to be related to birth order and to the mode of delivery. In contrast, RDS was more frequent among the second born twins in the vaginal birth groups born at 30–36 weeks [odds ratio (OR) 2.5, 95% confidence interval (CI) 1.2–5.1 and OR 2.0, 95% CI 1.2–3.5 for 33–36 weeks and 30–32 weeks, respectively], whereas this trend was seen in the cesarean birth groups born earlier (OR 3.8, 95% CI 1.1–13.0 for 28–29 weeks). Cesarean delivery significantly increased the frequency of RDS in twin A as well as in twin B compared with vaginal birth, but only at gestational ages <30 weeks.Conclusion:Mode of delivery and birth order have a gestational age dependent effect on the incidence of RDS.

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Predictors of success of trial of labor after cesarean section: A nested case–control study at public hospitals in Eastern Ethiopia

Women s Health ◽

10.1177/17455065211061960 ◽

2021 ◽

Vol 17 ◽

pp. 174550652110619

Author(s):

Maleda Tefera ◽

Nega Assefa ◽

Kedir Teji Roba ◽

Letta Gedefa

Keyword(s):

Cesarean Section ◽

Cesarean Delivery ◽

Vaginal Birth ◽

Public Hospitals ◽

Vaginal Birth After Cesarean ◽

Eastern Ethiopia ◽

Trial Of Labor ◽

History Of ◽

Nested Case Control

Background: One of the primary reasons for an increase in cesarean sections is obstetricians’ uncertainty about labor trial safety following a previous cesarean section. The success rate of vaginal birth after cesarean section with a single cesarean scar is greater than 50%. However, to the best of our knowledge, there is a scarcity of information on the determinants of vaginal birth after cesarean delivery in the study area. As a result, the purpose of this study was to identify predictors of successful vaginal birth after cesarean delivery in public hospitals in Eastern Ethiopia. Methods: A nested case–control study design was used within a prospective follow-up study conducted from June to October 2020. A total of 220 women who tried vaginal birth after cesarean delivery was included, 110 cases and 110 controls. Cases were women with one previous cesarean section scar and successfully proceed with vaginal delivery. The controls were those with an earlier cesarean section scar and delivered by emergency cesarean section after trial of labor. A pre-tested structured questionnaire was used to gather the information. Multiple logistic regression is used to identify the determinants for the success of vaginal birth after cesarean section; odds ratio with its 95% CI are used to report the findings. Results: We found that living in rural areas (AOR = 2.28; 95% CI (1.85, 12.41)), having a current antenatal care follow-up (AOR = 3.20; 95% CI (1.15, 8.87)) and partograph monitoring of labor (AOR = 4.26; 95% CI (1.90, 9.57)) had a positive association with successful vaginal birth after cesarean section. In contrast, the presence of meconium-stained amniotic liquor (AOR = 0.10; 95% CI (0.01, 0.75)) and history of stillbirth (AOR = 0.07; 95% CI (0.02, 0.53)) reducing the chance of success of the trial. Conclusion: Past obstetric history, such as stillbirth, history of labor trial after primary cesarean section, and prior vaginal birth, were significant predictors for achieving vaginal birth after cesarean section. Antenatal care visit, and partograph follow-up were the current obstetric characteristics positively associated with the trial of labor.

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A Case of Vaginal Birth after Cesarean Delivery in a Patient with Uterine Didelphys

Case Reports in Obstetrics and Gynecology ◽

10.1155/2019/3979581 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Jennifer W. H. Wong

Keyword(s):

Cesarean Delivery ◽

Subsequent Pregnancy ◽

Uterine Horn ◽

Shared Decision ◽

Vaginal Birth After Cesarean ◽

Spontaneous Vaginal Delivery ◽

Trial Of Labor ◽

Uterine Anomalies ◽

History Of ◽

Repeat Cesarean Delivery

Background. The American College of Obstetricians and Gynecologists (ACOG) recommends that most women with one prior low-transverse cesarean delivery should be offered a trial of labor after cesarean (TOLAC). However, very little is known about TOLAC in women with uterine anomalies. Case. A 32-year-old gravida-2 para-1 female with a history of uterine didelphys and one prior low-transverse cesarean section in the left uterine horn presented with a subsequent pregnancy in the left uterine horn. After extensive counseling on TOLAC versus repeat cesarean delivery, the patient decided to proceed with TOLAC and had a spontaneous vaginal delivery of a healthy infant at 38 3/7 weeks of gestation. Conclusion. TOLAC can be considered in women with uterine anomalies using ACOG’s standard TOLAC guidelines with informed consent and shared decision-making between the patient and obstetrician.

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