Factors associated with vaginal birth after cesarean in a maternity hospital of Rio de Janeiro
Objectives: Identifying characteristics associated with vaginal birth after cesarean. Study design: Case-control study based on medical records. Study population: women with previous cesarean, who had delivered in a public Rio de Janeiro maternity hospital between 1992 and 1996. Sample: 141 cases (v...
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| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 2001-08, Vol.97 (2), p.152-157 |
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| container_title | European journal of obstetrics & gynecology and reproductive biology |
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| creator | d’Orsi, E. Chor, D. Giffin, K. Barbosa, G.P. Angulo-Tuesta, A.J. Gama, A.S. Pessoa, L.G. Shiraiwa, T. Fonseca, M.J.M. |
| description | Objectives: Identifying characteristics associated with vaginal birth after cesarean.
Study design: Case-control study based on medical records. Study population: women with previous cesarean, who had delivered in a public Rio de Janeiro maternity hospital between 1992 and 1996. Sample: 141 cases (vaginal births after cesarean) and 304 controls (a new cesarean after other(s)). Multivariate analysis with logistic regression was carried out.
Results: The following characteristics were associated with greater probability of vaginal birth (IC=95%): only one previous cesarean (OR=19.05; IC=6.88–52.76); cervical dilatation at admission above 3
cm (OR=8.86; IC=4.93–15.94); gestational age below 37 weeks (OR=3.01; IC=1.40–6.46); history of at least one previous vaginal birth (OR=2.12; IC=1.18–3.82); level of education below high school (OR=1.94; IC=1.02–3.69). Chronic hypertension reduced the chances of vaginal birth (OR=0.44; IC=0.22–0.88).
Conclusions: Among the factors that can be modified to reduce the number of repeated cesareans are: trial of labor promotion, reducing admission of women at early stages of labor and adequate hypertension management during pregnancy.
Condensation: Among the factors that can be modified to reduce the number of repeated cesareans are: the trial of labor promotion for women who present previous cesarean, reducing admission of women at early stages of labor and adequate hypertension management during pregnancy. |
| doi_str_mv | 10.1016/S0301-2115(00)00523-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70999016</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0301211500005236</els_id><sourcerecordid>70999016</sourcerecordid><originalsourceid>FETCH-LOGICAL-c390t-9fc604a2c3e5eb79bd3080390baf67c14b3ff663ae27eac946c7e15fb16371773</originalsourceid><addsrcrecordid>eNqFkN1rFDEQwENR2mvtn1DJg0h9WDvZbJLuk0ixflAQqr42zGYnbWRvc01ylf735nqH-ua8DMP85oMfYycC3goQ-uwbSBBNK4Q6BXgDoFrZ6D22EOembYxW3TO2-IMcsMOcf0INKft9diBEp4TqYMFuLtGVmDLHnKMLWGjkv0K54w94G2ac-BBSrdAXStxRxkQ48zBz5MsKpzmUR34X8yqUCkfPr0PkI_EvOFNI8QV77nHKdLzLR-zH5YfvF5-aq68fP1-8v2qc7KE0vXcaOmydJEWD6YdRwjnU1oBeGye6QXqvtURqDaHrO-0MCeUHoaURxsgj9nq7d5Xi_ZpyscuQHU1TfSOuszXQ933VVkG1BV2KOSfydpXCEtOjFWA3Yu2TWLuxZgHsk1i7mXu5O7AeljT-ndqZrMCrHYDZ4eQTzi7kfzhhhFIVe7fFqNp4CJRsdoFmR2NI5IodY_jPJ78BgdiUcA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70999016</pqid></control><display><type>article</type><title>Factors associated with vaginal birth after cesarean in a maternity hospital of Rio de Janeiro</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>d’Orsi, E. ; Chor, D. ; Giffin, K. ; Barbosa, G.P. ; Angulo-Tuesta, A.J. ; Gama, A.S. ; Pessoa, L.G. ; Shiraiwa, T. ; Fonseca, M.J.M.</creator><creatorcontrib>d’Orsi, E. ; Chor, D. ; Giffin, K. ; Barbosa, G.P. ; Angulo-Tuesta, A.J. ; Gama, A.S. ; Pessoa, L.G. ; Shiraiwa, T. ; Fonseca, M.J.M.</creatorcontrib><description>Objectives: Identifying characteristics associated with vaginal birth after cesarean.
Study design: Case-control study based on medical records. Study population: women with previous cesarean, who had delivered in a public Rio de Janeiro maternity hospital between 1992 and 1996. Sample: 141 cases (vaginal births after cesarean) and 304 controls (a new cesarean after other(s)). Multivariate analysis with logistic regression was carried out.
Results: The following characteristics were associated with greater probability of vaginal birth (IC=95%): only one previous cesarean (OR=19.05; IC=6.88–52.76); cervical dilatation at admission above 3
cm (OR=8.86; IC=4.93–15.94); gestational age below 37 weeks (OR=3.01; IC=1.40–6.46); history of at least one previous vaginal birth (OR=2.12; IC=1.18–3.82); level of education below high school (OR=1.94; IC=1.02–3.69). Chronic hypertension reduced the chances of vaginal birth (OR=0.44; IC=0.22–0.88).
Conclusions: Among the factors that can be modified to reduce the number of repeated cesareans are: trial of labor promotion, reducing admission of women at early stages of labor and adequate hypertension management during pregnancy.
Condensation: Among the factors that can be modified to reduce the number of repeated cesareans are: the trial of labor promotion for women who present previous cesarean, reducing admission of women at early stages of labor and adequate hypertension management during pregnancy.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/S0301-2115(00)00523-6</identifier><identifier>PMID: 11451540</identifier><identifier>CODEN: EOGRAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Brazil ; Case-Control Studies ; Case-control study ; Cesarean ; Delivery. Postpartum. Lactation ; Educational Status ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Hospitals, Maternity ; Humans ; Hypertension - complications ; Labor Stage, First ; Logistic Models ; Maternal, fetal and perinatal monitoring ; Maternity ; Medical records ; Medical sciences ; Pregnancy ; Pregnancy Complications ; Pregnancy Complications, Cardiovascular ; Pregnancy in Adolescence ; Trial of Labor ; Vaginal birth after cesarean ; Vaginal Birth after Cesarean - statistics & numerical data</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2001-08, Vol.97 (2), p.152-157</ispartof><rights>2001 Elsevier Science Ireland Ltd</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-9fc604a2c3e5eb79bd3080390baf67c14b3ff663ae27eac946c7e15fb16371773</citedby><cites>FETCH-LOGICAL-c390t-9fc604a2c3e5eb79bd3080390baf67c14b3ff663ae27eac946c7e15fb16371773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0301-2115(00)00523-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1117155$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11451540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>d’Orsi, E.</creatorcontrib><creatorcontrib>Chor, D.</creatorcontrib><creatorcontrib>Giffin, K.</creatorcontrib><creatorcontrib>Barbosa, G.P.</creatorcontrib><creatorcontrib>Angulo-Tuesta, A.J.</creatorcontrib><creatorcontrib>Gama, A.S.</creatorcontrib><creatorcontrib>Pessoa, L.G.</creatorcontrib><creatorcontrib>Shiraiwa, T.</creatorcontrib><creatorcontrib>Fonseca, M.J.M.</creatorcontrib><title>Factors associated with vaginal birth after cesarean in a maternity hospital of Rio de Janeiro</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>Objectives: Identifying characteristics associated with vaginal birth after cesarean.
Study design: Case-control study based on medical records. Study population: women with previous cesarean, who had delivered in a public Rio de Janeiro maternity hospital between 1992 and 1996. Sample: 141 cases (vaginal births after cesarean) and 304 controls (a new cesarean after other(s)). Multivariate analysis with logistic regression was carried out.
Results: The following characteristics were associated with greater probability of vaginal birth (IC=95%): only one previous cesarean (OR=19.05; IC=6.88–52.76); cervical dilatation at admission above 3
cm (OR=8.86; IC=4.93–15.94); gestational age below 37 weeks (OR=3.01; IC=1.40–6.46); history of at least one previous vaginal birth (OR=2.12; IC=1.18–3.82); level of education below high school (OR=1.94; IC=1.02–3.69). Chronic hypertension reduced the chances of vaginal birth (OR=0.44; IC=0.22–0.88).
Conclusions: Among the factors that can be modified to reduce the number of repeated cesareans are: trial of labor promotion, reducing admission of women at early stages of labor and adequate hypertension management during pregnancy.
Condensation: Among the factors that can be modified to reduce the number of repeated cesareans are: the trial of labor promotion for women who present previous cesarean, reducing admission of women at early stages of labor and adequate hypertension management during pregnancy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Brazil</subject><subject>Case-Control Studies</subject><subject>Case-control study</subject><subject>Cesarean</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Educational Status</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hospitals, Maternity</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Labor Stage, First</subject><subject>Logistic Models</subject><subject>Maternal, fetal and perinatal monitoring</subject><subject>Maternity</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Pregnancy Complications, Cardiovascular</subject><subject>Pregnancy in Adolescence</subject><subject>Trial of Labor</subject><subject>Vaginal birth after cesarean</subject><subject>Vaginal Birth after Cesarean - statistics & numerical data</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkN1rFDEQwENR2mvtn1DJg0h9WDvZbJLuk0ixflAQqr42zGYnbWRvc01ylf735nqH-ua8DMP85oMfYycC3goQ-uwbSBBNK4Q6BXgDoFrZ6D22EOembYxW3TO2-IMcsMOcf0INKft9diBEp4TqYMFuLtGVmDLHnKMLWGjkv0K54w94G2ac-BBSrdAXStxRxkQ48zBz5MsKpzmUR34X8yqUCkfPr0PkI_EvOFNI8QV77nHKdLzLR-zH5YfvF5-aq68fP1-8v2qc7KE0vXcaOmydJEWD6YdRwjnU1oBeGye6QXqvtURqDaHrO-0MCeUHoaURxsgj9nq7d5Xi_ZpyscuQHU1TfSOuszXQ933VVkG1BV2KOSfydpXCEtOjFWA3Yu2TWLuxZgHsk1i7mXu5O7AeljT-ndqZrMCrHYDZ4eQTzi7kfzhhhFIVe7fFqNp4CJRsdoFmR2NI5IodY_jPJ78BgdiUcA</recordid><startdate>20010801</startdate><enddate>20010801</enddate><creator>d’Orsi, E.</creator><creator>Chor, D.</creator><creator>Giffin, K.</creator><creator>Barbosa, G.P.</creator><creator>Angulo-Tuesta, A.J.</creator><creator>Gama, A.S.</creator><creator>Pessoa, L.G.</creator><creator>Shiraiwa, T.</creator><creator>Fonseca, M.J.M.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010801</creationdate><title>Factors associated with vaginal birth after cesarean in a maternity hospital of Rio de Janeiro</title><author>d’Orsi, E. ; Chor, D. ; Giffin, K. ; Barbosa, G.P. ; Angulo-Tuesta, A.J. ; Gama, A.S. ; Pessoa, L.G. ; Shiraiwa, T. ; Fonseca, M.J.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-9fc604a2c3e5eb79bd3080390baf67c14b3ff663ae27eac946c7e15fb16371773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Brazil</topic><topic>Case-Control Studies</topic><topic>Case-control study</topic><topic>Cesarean</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Educational Status</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hospitals, Maternity</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Labor Stage, First</topic><topic>Logistic Models</topic><topic>Maternal, fetal and perinatal monitoring</topic><topic>Maternity</topic><topic>Medical records</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Pregnancy Complications, Cardiovascular</topic><topic>Pregnancy in Adolescence</topic><topic>Trial of Labor</topic><topic>Vaginal birth after cesarean</topic><topic>Vaginal Birth after Cesarean - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>d’Orsi, E.</creatorcontrib><creatorcontrib>Chor, D.</creatorcontrib><creatorcontrib>Giffin, K.</creatorcontrib><creatorcontrib>Barbosa, G.P.</creatorcontrib><creatorcontrib>Angulo-Tuesta, A.J.</creatorcontrib><creatorcontrib>Gama, A.S.</creatorcontrib><creatorcontrib>Pessoa, L.G.</creatorcontrib><creatorcontrib>Shiraiwa, T.</creatorcontrib><creatorcontrib>Fonseca, M.J.M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>d’Orsi, E.</au><au>Chor, D.</au><au>Giffin, K.</au><au>Barbosa, G.P.</au><au>Angulo-Tuesta, A.J.</au><au>Gama, A.S.</au><au>Pessoa, L.G.</au><au>Shiraiwa, T.</au><au>Fonseca, M.J.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with vaginal birth after cesarean in a maternity hospital of Rio de Janeiro</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2001-08-01</date><risdate>2001</risdate><volume>97</volume><issue>2</issue><spage>152</spage><epage>157</epage><pages>152-157</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><coden>EOGRAL</coden><abstract>Objectives: Identifying characteristics associated with vaginal birth after cesarean.
Study design: Case-control study based on medical records. Study population: women with previous cesarean, who had delivered in a public Rio de Janeiro maternity hospital between 1992 and 1996. Sample: 141 cases (vaginal births after cesarean) and 304 controls (a new cesarean after other(s)). Multivariate analysis with logistic regression was carried out.
Results: The following characteristics were associated with greater probability of vaginal birth (IC=95%): only one previous cesarean (OR=19.05; IC=6.88–52.76); cervical dilatation at admission above 3
cm (OR=8.86; IC=4.93–15.94); gestational age below 37 weeks (OR=3.01; IC=1.40–6.46); history of at least one previous vaginal birth (OR=2.12; IC=1.18–3.82); level of education below high school (OR=1.94; IC=1.02–3.69). Chronic hypertension reduced the chances of vaginal birth (OR=0.44; IC=0.22–0.88).
Conclusions: Among the factors that can be modified to reduce the number of repeated cesareans are: trial of labor promotion, reducing admission of women at early stages of labor and adequate hypertension management during pregnancy.
Condensation: Among the factors that can be modified to reduce the number of repeated cesareans are: the trial of labor promotion for women who present previous cesarean, reducing admission of women at early stages of labor and adequate hypertension management during pregnancy.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>11451540</pmid><doi>10.1016/S0301-2115(00)00523-6</doi><tpages>6</tpages></addata></record> |
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| ispartof | European journal of obstetrics & gynecology and reproductive biology, 2001-08, Vol.97 (2), p.152-157 |
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| subjects | Adolescent Adult Biological and medical sciences Brazil Case-Control Studies Case-control study Cesarean Delivery. Postpartum. Lactation Educational Status Female Gestational Age Gynecology. Andrology. Obstetrics Hospitals, Maternity Humans Hypertension - complications Labor Stage, First Logistic Models Maternal, fetal and perinatal monitoring Maternity Medical records Medical sciences Pregnancy Pregnancy Complications Pregnancy Complications, Cardiovascular Pregnancy in Adolescence Trial of Labor Vaginal birth after cesarean Vaginal Birth after Cesarean - statistics & numerical data |
| title | Factors associated with vaginal birth after cesarean in a maternity hospital of Rio de Janeiro |
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