Document Detail


Delivery after previous cesarean: short-term perinatal outcomes.
MedLine Citation:
PMID:  20654778     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Women must often choose between a vaginal birth after previous cesarean and elective repeat cesarean delivery. Short-term risks of vaginal birth after cesarean can be potentially catastrophic in the setting of uterine rupture. Although randomized controlled trials comparing these 2 modes of delivery are lacking, observational studies suggest an increased risk of perinatal mortality and hypoxic-ischemic encephalopathy in infants whose mothers undergo a trial of labor. These rare risks compete with more common, albeit less severe, short-term risks associated with elective repeat cesarean delivery, with a particular emphasis on increased respiratory morbidities. Further studies are needed to identify potential strategies to improve perinatal outcomes and help guide physicians and patients in choosing optimal methods of delivery.
Authors:
Ravi M Patel; Lucky Jain
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  34     ISSN:  1558-075X     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-26     Completed Date:  2010-11-16     Revised Date:  2014-09-18    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  272-80     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Birth Injuries / epidemiology
Cesarean Section, Repeat / adverse effects*,  trends
Consensus Development Conferences, NIH as Topic
Female
Humans
Hypoxia-Ischemia, Brain / epidemiology
Infant Mortality
Infant, Newborn
Intensive Care, Neonatal / statistics & numerical data
National Institutes of Health (U.S.)
Perinatal Mortality
Pregnancy
Pregnancy Outcome / epidemiology*
Respiratory Distress Syndrome, Newborn / epidemiology
Risk Factors
Trial of Labor
United States
Uterine Rupture / epidemiology
Vaginal Birth after Cesarean / adverse effects*,  trends
Grant Support
ID/Acronym/Agency:
R01 HL063306/HL/NHLBI NIH HHS; R01 HL063306-01A2/HL/NHLBI NIH HHS
Comments/Corrections

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