Effect of stage of initial labor dystocia on vaginal birth after cesarean success

American Journal of Obstetrics and Gynecology
Adam Korrick LewkowitzMelissa G Rosenstein

Abstract

The objective of the study was to examine whether the stage of labor dystocia causing a primary cesarean delivery (CD) affects a trial of labor after cesarean (TOLAC) success. This was a retrospective cohort study of women who had primary CD of singleton pregnancies for first- or second-stage labor dystocia and attempted TOLAC at a single hospital between 2002 and 2014. We compared TOLAC success rates between women whose primary CD was for first- vs second-stage labor dystocia and investigated whether the effect of prior dystocia stage on TOLAC success was modified by previous vaginal delivery (VD). A total of 238 women were included; nearly half (49%) achieved vaginal birth after cesarean (VBAC). Women with a history of second-stage labor dystocia were more likely to have VBAC compared with those with first-stage dystocia, although this trend was not statistically significant among the general population (55% vs 45%, adjusted odds ratio, 1.4, 95% confidence interval, 0.8-2.5]). However, among women without a prior VD, those with a history of second-stage dystocia did have statistically higher odds of achieving VBAC than those with prior first-stage dystocia (54% vs 38%, adjusted odds ratio, 1.8 [95% confidence interval, 1.0-3....Continue Reading

References

Sep 5, 1996·The New England Journal of Medicine·M J McMahonA F Olshan
Oct 30, 1998·Obstetrics and Gynecology·L Impey, C O'Herlihy
Jul 29, 2004·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Celeste Durnwald, Brian Mercer
Dec 16, 2004·The New England Journal of Medicine·Mark B LandonUNKNOWN National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
Sep 15, 2005·American Journal of Obstetrics and Gynecology·Mark B LandonUNKNOWN National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
Nov 11, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ji Young KwonYoung Lee
Oct 3, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Helle AbildgaardNiels Joergen Secher
Mar 20, 2013·American Journal of Obstetrics and Gynecology·Nir MelamedYariv Yogev

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Citations

Aug 23, 2018·Acta Obstetricia Et Gynecologica Scandinavica·Charlotte Lindblad WollmannOlof Stephansson
Dec 4, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Marie Carlsson Fagerberg, Karin Källén
Feb 20, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nathan S FoxAndrei Rebarber
Oct 9, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Charlotte Lindblad WollmannJonathan M Snowden
Jan 19, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Shira BitenskyAdi Yehuda Weintraub
May 26, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·David KniginMatan Elami-Suzin
Nov 14, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Yaniv ZiporiNizar Khatib

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