| Maternal morbidity following a trial of labor after cesarean section vs elective repeat cesarean delivery: a systematic review with metaanalysis. | |
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MedLine Citation:
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PMID: 18511018 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study reviewed maternal morbidity following trial of labor (TOL) after cesarean section, compared with elective repeat cesarean delivery (ERCS). Articles were pooled to compare women planning vaginal birth after cesarean (VBAC) with those undergoing ERCS with regard to maternal morbidity (MM), uterine rupture/dehiscence (UR/D), blood transfusion (BT), and hysterectomy. The former group was subdivided into successful VBAC (S-VBAC) and failed TOL (F-TOL). VBAC was successful in 17,905 of 24,349 patients (73%). MM, BT, and hysterectomy were similar in women planning VBAC or ERCS, whereas UR/D was different (1.3%; 0,4%). MM, UR/D, BT and hysterectomy were more common after F-TOL (17%, 4.4%, 3%; 0.5%) than after S-VBAC (3.1%, 0.2%, 1.1%; 0.1%) or ERCS (4.3%, 0.4%, 1%; 0.3%). Outcomes were more favorable in S-VBAC than ERCS. These findings show that a higher risk of UR/D in women planning VBAC than ERCS is counterbalanced by reduction of MM, UR/D. and hysterectomy when VBAC is successful. |
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Authors:
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A Cristina Rossi; Vincenzo D'Addario |
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Publication Detail:
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Type: Comparative Study; Journal Article; Meta-Analysis; Review Date: 2008-06-03 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 199 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-09-05 Completed Date: 2008-10-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 224-31 Citation Subset: AIM; IM |
Affiliation:
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IV Clinic of Obstetrics and Gynecology, University of Bari, Bari, Italy. acristinarossi@yahoo.it. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section* Cesarean Section, Repeat Female Humans Hysterectomy Pregnancy Risk Factors Surgical Procedures, Elective Surgical Wound Dehiscence / epidemiology Trial of Labor* Uterine Rupture / epidemiology Vaginal Birth after Cesarean* / adverse effects |
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