Risk factors for cesarean section and instrumental vaginal delivery after successful external cephalic version

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
Marcella de HundtM Kok

Abstract

Aim of this article is to examine if we could identify factors that predict cesarean section and instrumental vaginal delivery in women who had a successful external cephalic version. We used data from a previous randomized trial among 25 hospitals and their referring midwife practices in the Netherlands. With the data of this trial, we performed a cohort study among women attempting vaginal delivery after successful ECV. We evaluated whether maternal age, gestational age, parity, time interval between ECV and delivery, birth weight, neonatal gender, and induction of labor were predictive for a vaginal delivery on one hand or a CS or instrumental vaginal delivery on the other hand. Unadjusted and adjusted odds ratios were calculated with univariate and multivariate logistic regression analysis. Among 301 women who attempted vaginal delivery after a successful external cephalic version attempt, the cesarean section rate was 13% and the instrumental vaginal delivery rate 6%, resulting in a combined instrumental delivery rate of 19%. Nulliparity increased the risk of cesarean section (OR 2.7 (95% CI 1.2-6.1)) and instrumental delivery (OR 4.2 (95% CI 2.1-8.6)). Maternal age, gestational age at delivery, time interval between exter...Continue Reading

References

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Nov 21, 2002·American Journal of Perinatology·Avi Ben-HaroushBoris Kaplan
Mar 26, 2004·American Journal of Obstetrics and Gynecology·Yannik VézinaMarc Boucher
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Jul 22, 2011·Obstetrics and Gynecology·Doron KabiriYossef Ezra
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Mar 4, 2014·TheScientificWorldJournal·Pei Shan LimZaleha Abdullah Mahdy
May 9, 2014·Obstetrics and Gynecology·Marcella de HundtMarjolein Kok

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Citations

May 4, 2020·BMC Pregnancy and Childbirth·Lionel CarbillonJeremy Boujenah
Aug 19, 2020·Journal of Perinatal Medicine·Gabriel LevinRaphael N Pollack
Sep 28, 2017·Journal of Gynecology Obstetrics and Human Reproduction·J BoujenahL Carbillon
Dec 10, 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·Pavani Manikya PalepuAnish Keepanasseril

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