Prediction of successful trial of labor after cesarean among grand-multiparous women.
Cesarean delivery
Grand multiparous
Trial of labor
Uterine rupture
Vaginal birth
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
18
01
2021
accepted:
22
10
2021
pubmed:
29
10
2021
medline:
6
8
2022
entrez:
28
10
2021
Statut:
ppublish
Résumé
To determine the factors associated with successful trial of labor after cesarean (TOLAC) among grand-multiparous (GMP) women. A retrospective cohort study was conducted, including all GMP women (≥ 5 deliveries) undergoing TOLAC during 3/2011 and 6/2020, delivering a singleton cephalic newborn. Factors associated with successful vaginal delivery were examined by multivariable analysis. Overall, 381/413 (92.2%) GMP succeeded TOLAC. Maternal characteristics did not differ between TOLAC success and TOLAC failure groups. Previous cesarean delivery characteristics did not differ between study groups. The median number of previous vaginal births after cesarean was 2 [interquartile range 1-4]. Gestational age at TOLAC was lower in the success group (mean 37 TOLAC among GMP has a very-high success rate. Shortening the duration of ruptured membranes is a modifiable factor that may be associated with increased TOLAC success rates.
Identifiants
pubmed: 34708256
doi: 10.1007/s00404-021-06311-4
pii: 10.1007/s00404-021-06311-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
373-378Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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