Document Detail


Elective repeat cesarean delivery compared with spontaneous trial of labor after a prior cesarean delivery: a propensity score analysis.
MedLine Citation:
PMID:  22464069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to determine outcomes, after the use of propensity score techniques, to create balanced groups according to whether a woman undergoes elective repeat cesarean delivery (ERCD) or trial of labor (TOL).
STUDY DESIGN: Women who were eligible for a TOL with 1 previous low transverse incision were categorized according to whether they underwent an ERCD or TOL. A propensity score technique was used to develop ERCD and TOL groups with comparable baseline characteristics. Outcomes were assessed with conditional logistic regression.
RESULTS: The rates of endometritis, operative injury, respiratory distress syndrome, and newborn infant infection were lower and the rates of hysterectomy and wound complication were higher in the ERCD group.
CONCLUSION: Propensity score techniques can be used to generate comparable ERCD and TOL groups. Some types of maternal morbidity (such as hysterectomy) are higher; other types (such as operative injury) are lower in the ERCD group. Although the absolute risk is low, neonatal morbidity appears to be lower in the ERCD group.
Authors:
Sharon A Gilbert; William A Grobman; Mark B Landon; Catherine Y Spong; Dwight J Rouse; Kenneth J Leveno; Michael W Varner; Steve N Caritis; Paul J Meis; Yoram Sorokin; Marshall Carpenter; Mary J O'Sullivan; Baha M Sibai; John M Thorp; Susan M Ramin; Brian M Mercer;
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  206     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-02     Completed Date:  2012-05-21     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  311.e1-9     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Mosby, Inc. All rights reserved.
Affiliation:
The George Washington University Biostatistics Center, Washington, DC, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section, Repeat / adverse effects,  statistics & numerical data*
Endometriosis / epidemiology
Female
Humans
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Pregnancy
Pregnancy Complications, Infectious / epidemiology
Pregnancy Outcome / epidemiology
Propensity Score*
Respiratory Distress Syndrome, Newborn / epidemiology
Surgical Procedures, Elective / statistics & numerical data*
Trial of Labor*
Uterine Rupture / epidemiology
Vaginal Birth after Cesarean / statistics & numerical data
Grant Support
ID/Acronym/Agency:
HD21410/HD/NICHD NIH HHS; HD21414/HD/NICHD NIH HHS; HD27860/HD/NICHD NIH HHS; HD27861/HD/NICHD NIH HHS; HD27869/HD/NICHD NIH HHS; HD27905/HD/NICHD NIH HHS; HD27915/HD/NICHD NIH HHS; HD27917/HD/NICHD NIH HHS; HD34116/HD/NICHD NIH HHS; HD34122/HD/NICHD NIH HHS; HD34136/HD/NICHD NIH HHS; HD34208/HD/NICHD NIH HHS; HD34210/HD/NICHD NIH HHS; HD36801/HD/NICHD NIH HHS; HD40485/HD/NICHD NIH HHS; HD40500/HD/NICHD NIH HHS; HD40512/HD/NICHD NIH HHS; HD40544/HD/NICHD NIH HHS; HD40545/HD/NICHD NIH HHS; HD40560/HD/NICHD NIH HHS; U01 HD036801/HD/NICHD NIH HHS; U01 HD036801-03/HD/NICHD NIH HHS
Investigator
Investigator/Affiliation:
E Thom / ; H Juliussen-Stevenson / ; M Fischer / ; L Leuchtenburg / ; A Peaceman / ; M Socol / ; D Gradishar / ; G Mallett / ; F Johnson / ; S Meadows / ; H Walker / ; J Hauth / ; A Northen / ; S Tate / ; S Bloom / ; J Gold / ; D Bradford / ; M Belfort / ; F Porter / ; B Oshiro / ; K Anderson / ; A Guzman / ; K Lain / ; M Cotroneo / ; D Fischer / ; M Luce / ; M Harper / ; M Swain / ; C Moorefield / ; K Lanier / ; L Steele / ; Thomas Jefferson / ; R Wapner / ; A Sciscione / ; M DiVito / ; M Talucci / ; M Pollock / ; M Dombrowski / ; G Norman / ; A Millinder / ; C Sudz / ; B Steffy / ; M Miodovnik / ; T Siddiqi / ; H How / ; N Elder / ; F Malone / ; M D'Alton / ; V Pemberton / ; V Carmona / ; H Husami / ; H Silver / ; J Tillinghast / ; D Catlow / ; D Allard / ; G Burkett / ; J Gilles / ; J Potter / ; F Doyle / ; S Chandler / ; W Mabie / ; R Ramsey / ; O Langer / ; D Conway / ; S Barker / ; M Rodriguez / ; K Moise / ; K Dorman / ; S Brody / ; J Mitchell / ; L Gilstrap / ; M Day / ; M Kerr / ; E Gildersleeve / ; P Catalano / ; C Milluzzi / ; B Slivers / ; C Santori / ; A Moawad / ; J Hibbard / ; P Jones / ; M Ramos-Brinson / ; M Moran / ; D Scott / ; D McNellis / ; K Howell / ; S Tolivaisa / ; S Gabbe /
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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