Document Detail


Mode of delivery in women with antepartum fetal death and prior cesarean delivery.
MedLine Citation:
PMID:  20486068     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-05-19
Journal Detail:
Title:  American journal of perinatology     Volume:  27     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-14     Completed Date:  2010-11-29     Revised Date:  2014-11-07    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  825-30     Citation Subset:  IM    
Copyright Information:
© Thieme Medical Publishers.
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MeSH Terms
Descriptor/Qualifier:
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:
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/HD/NICHD NIH HHS; U10 HD021410/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/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/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/HD/NICHD NIH HHS; U10 HD034208-12/HD/NICHD NIH HHS; U10 HD034210-05/HD/NICHD NIH HHS; U10 HD036801/HD/NICHD NIH HHS; U10 HD036801-11/HD/NICHD NIH HHS; U10 HD040485/HD/NICHD NIH HHS; U10 HD040485-11/HD/NICHD NIH HHS; U10 HD040500-08/HD/NICHD NIH HHS; U10 HD040512/HD/NICHD NIH HHS; U10 HD040512-11/HD/NICHD NIH HHS; U10 HD040544-11/HD/NICHD NIH HHS; U10 HD040545/HD/NICHD NIH HHS; U10 HD040545-11/HD/NICHD NIH HHS; U10 HD040560-11/HD/NICHD NIH HHS
Comments/Corrections

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


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