| Mode of delivery in women with antepartum fetal death and prior cesarean delivery. | |
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MedLine Citation:
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PMID: 20486068 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe obstetric outcomes in a group of patients with prior cesarean delivery (CD) presenting with an intrauterine fetal demise (IUFD). A secondary analysis of an observational study of women with prior CD was performed. All antepartum singleton pregnancies with a prior CD and IUFD ≥20 weeks' gestation or 500 g were evaluated. Two hundred nine patients met inclusion criteria for analysis. The mean gestational age ± standard deviation at delivery was 31.3 ± 6.5 weeks. The trial of labor rate was 75.6% (158/209), and the vaginal birth after cesarean (VBAC) success rate was 86.7%. Labor induction or augmentation occurred in 83.3% of attempted VBAC. Uterine rupture occurred in five women (2.4%), and in 3.4% of those being induced but none of these required hysterectomy. Women with a history of previous CD and an IUFD often undergo trial of labor with a high VBAC success rate. Uterine rupture complicates 2.4% of such cases. |
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Authors:
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Mildred M Ramirez; Sharon Gilbert; Mark B Landon; Dwight J Rouse; Catherine Y Spong; Michael W Varner; Steve N Caritis; Ronald J Wapner; Yoram Sorokin; Menachem Miodovnik; Marshall Carpenter; Alan M Peaceman; Mary J O'Sullivan; Baha M Sibai; Oded Langer; John M Thorp; Brian M Mercer |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2010-05-19 |
Journal Detail:
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Title: American journal of perinatology Volume: 27 ISSN: 1098-8785 ISO Abbreviation: Am J Perinatol Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-14 Completed Date: 2010-11-29 Revised Date: 2012-02-09 |
Medline Journal Info:
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Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 825-30 Citation Subset: IM |
Copyright Information:
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© Thieme Medical Publishers. |
Affiliation:
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Departments of Obstetrics and Gynecology, University of Texas Health Science Center at Houston, Houston, TX 77030, USA. Mildred.M.Ramirez @uth.tmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Fetal Death Gestational Age Gravidity* Humans Labor, Induced / adverse effects Labor, Obstetric Obstetric Labor Complications / etiology Pregnancy Stillbirth Treatment Outcome Trial of Labor Vaginal Birth after Cesarean / adverse effects* Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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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; R24 HD050924-06/HD/NICHD NIH HHS; R24 HD050924-07/HD/NICHD NIH HHS; U10 HD021410-21/HD/NICHD NIH HHS; U10 HD021414-15/HD/NICHD NIH HHS; U10 HD027860-15/HD/NICHD NIH HHS; U10 HD027861-10/HD/NICHD NIH HHS; U10 HD027869-18/HD/NICHD NIH HHS; U10 HD027905-10/HD/NICHD NIH HHS; U10 HD027915-19/HD/NICHD NIH HHS; U10 HD027917-18/HD/NICHD NIH HHS; U10 HD034116-13/HD/NICHD NIH HHS; U10 HD034122-05/HD/NICHD NIH HHS; U10 HD034136-10/HD/NICHD NIH HHS; U10 HD034208-12/HD/NICHD NIH HHS; U10 HD034210-05/HD/NICHD NIH HHS; U10 HD036801-11/HD/NICHD NIH HHS; U10 HD040485-11/HD/NICHD NIH HHS; U10 HD040500-08/HD/NICHD NIH HHS; U10 HD040512-11/HD/NICHD NIH HHS; U10 HD040544-11/HD/NICHD NIH HHS; U10 HD040545-11/HD/NICHD NIH HHS; U10 HD040560-11/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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