Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean Delivery

In this multicenter, four-year observational study of women with a history of cesarean section and a singleton gestation, a trial of labor was associated with a higher risk of symptomatic uterine rupture in the mother and hypoxic–ischemic encephalopathy in the infant than was elective cesarean deliv...

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Veröffentlicht in:The New England journal of medicine 2004-12, Vol.351 (25), p.2581-2589
Hauptverfasser: Landon, Mark B, Hauth, John C, Leveno, Kenneth J, Spong, Catherine Y, Leindecker, Sharon, Varner, Michael W, Moawad, Atef H, Caritis, Steve N, Harper, Margaret, Wapner, Ronald J, Sorokin, Yoram, Miodovnik, Menachem, Carpenter, Marshall, Peaceman, Alan M, O'Sullivan, Mary Jo, Sibai, Baha, Langer, Oded, Thorp, John M, Ramin, Susan M, Mercer, Brian M, Gabbe, Steven G
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container_end_page 2589
container_issue 25
container_start_page 2581
container_title The New England journal of medicine
container_volume 351
creator Landon, Mark B
Hauth, John C
Leveno, Kenneth J
Spong, Catherine Y
Leindecker, Sharon
Varner, Michael W
Moawad, Atef H
Caritis, Steve N
Harper, Margaret
Wapner, Ronald J
Sorokin, Yoram
Miodovnik, Menachem
Carpenter, Marshall
Peaceman, Alan M
O'Sullivan, Mary Jo
Sibai, Baha
Langer, Oded
Thorp, John M
Ramin, Susan M
Mercer, Brian M
Gabbe, Steven G
description In this multicenter, four-year observational study of women with a history of cesarean section and a singleton gestation, a trial of labor was associated with a higher risk of symptomatic uterine rupture in the mother and hypoxic–ischemic encephalopathy in the infant than was elective cesarean delivery, although the absolute risks of these complications were low. The findings from this study should help inform women about their choices regarding the type of delivery after a prior cesarean section. The findings from this study should help inform women about their choices regarding the type of delivery after a prior cesarean section. The overall rate of cesarean delivery in the United States has risen dramatically, from 5 percent of all deliveries in 1970 to a high of 26 percent in 2002. 1 Efforts to reduce the number of cesarean births, although initially successful, failed to achieve the U.S. Public Health Service goals, set in 1990. These goals included achieving an overall rate of cesarean delivery of 15 percent, and a rate of vaginal birth after previous cesarean section of 35 percent of deliveries after previous cesarean sections, by the year 2000. 2 The Healthy People 2010 report published in 2000 proposes a target rate . . .
doi_str_mv 10.1056/NEJMoa040405
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The findings from this study should help inform women about their choices regarding the type of delivery after a prior cesarean section. The findings from this study should help inform women about their choices regarding the type of delivery after a prior cesarean section. The overall rate of cesarean delivery in the United States has risen dramatically, from 5 percent of all deliveries in 1970 to a high of 26 percent in 2002. 1 Efforts to reduce the number of cesarean births, although initially successful, failed to achieve the U.S. Public Health Service goals, set in 1990. 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subjects Adolescent
Adult
Biological and medical sciences
Births
Blood Transfusion - utilization
Cesarean section
Cesarean Section, Repeat - adverse effects
Childbirth & labor
Endometritis - etiology
Female
Fetal Death - epidemiology
General aspects
Humans
Hypoxia-Ischemia, Brain - epidemiology
Hypoxia-Ischemia, Brain - etiology
Hysterectomy - statistics & numerical data
Infant Mortality
Infant, Newborn
Logistic Models
Medical sciences
Morbidity
Obstetric Labor Complications
Obstetrics
Pregnancy
Pregnancy Outcome
Prospective Studies
Risk
Trial of Labor
Uterine Hemorrhage - etiology
Uterine Hemorrhage - surgery
Uterine Rupture - epidemiology
Uterine Rupture - etiology
Uterine Rupture - surgery
Vaginal Birth after Cesarean - adverse effects
Vaginal Birth after Cesarean - statistics & numerical data
Womens health
title Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean Delivery
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