A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes

Abdulrahim A Rouzi, Rana Alamoudi, Sarah Ghazali, Nisma Almansouri, Abdullah Kafy, Meshari Alrumaihi, Wajeh Hariri, Esraa Alsafri Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Abdulrahim A Rouzi PO Box 80215, Jeddah, 21589, Saudi ArabiaTel +9...

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Autores principales:	Rouzi AA, Alamoudi R, Ghazali S, Almansouri N, Kafy A, Alrumaihi M, Hariri W, Alsafri E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	trial of labor after cesarean cesarean section Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/213b553afe764a2aab005dd3527042b9
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spelling	oai:doaj.org-article:213b553afe764a2aab005dd3527042b92021-11-09T18:40:35ZA Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes1179-1411https://doaj.org/article/213b553afe764a2aab005dd3527042b92021-11-01T00:00:00Zhttps://www.dovepress.com/a-retrospective-study-of-the-association-of-repeated-attempts-at-trial-peer-reviewed-fulltext-article-IJWHhttps://doaj.org/toc/1179-1411Abdulrahim A Rouzi, Rana Alamoudi, Sarah Ghazali, Nisma Almansouri, Abdullah Kafy, Meshari Alrumaihi, Wajeh Hariri, Esraa Alsafri Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Abdulrahim A Rouzi PO Box 80215, Jeddah, 21589, Saudi ArabiaTel +966 50 5602587Email aarouzi@gmail.comPurpose: To assess the maternal and neonatal outcomes of repeated trials of labor after one previous cesarean section.Materials and Methods: We identified and reviewed the records of all women who had had a trial of labor after cesarean section at a tertiary care center in Saudi Arabia between January 1, 2011, and December 30, 2018. The inclusion criteria were women with singleton vertex pregnancies between 24 and 42 weeks of gestation and a trial of labor after one cesarean section. The exclusion criteria were two or more previous cesarean sections, intrauterine fetal demise, breech presentation, labor induction, estimated fetal weight > 4 kg, and classical or low vertical uterine incision. The pregnancy outcomes of these women were compared according to the number of trials of labor after cesarean section.Results: During the study period, 1139 women met the inclusion criteria. The number of women with previous zero, one, two, or three or more trials of labor after cesarean section were 669 (58.7%), 237 (20.8%), 132 (11.6%), and 101 (8.9%), respectively. There were statistically significant trends between the four groups in age, nationality, gravidity, and parity but not in the booking status, BMI, or the hemoglobin level before a trial of labor after cesarean section. The rate of vaginal birth after cesarean section increased significantly (p< 0.001) from 72.9% with zero to 93.3% with one, 93.9% with two, and 94.1% with three or more trials of labor after cesarean section.Conclusion: Previously successful vaginal births after cesarean delivery are associated with improved maternal and neonatal outcomes in the subsequent trials of labor after cesarean delivery.Keywords: trial of labor after cesarean, cesarean sectionRouzi AAAlamoudi RGhazali SAlmansouri NKafy AAlrumaihi MHariri WAlsafri EDove Medical Pressarticletrial of labor after cesareancesarean sectionGynecology and obstetricsRG1-991ENInternational Journal of Women's Health, Vol Volume 13, Pp 1081-1086 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	trial of labor after cesarean cesarean section Gynecology and obstetrics RG1-991
spellingShingle	trial of labor after cesarean cesarean section Gynecology and obstetrics RG1-991 Rouzi AA Alamoudi R Ghazali S Almansouri N Kafy A Alrumaihi M Hariri W Alsafri E A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes
description	Abdulrahim A Rouzi, Rana Alamoudi, Sarah Ghazali, Nisma Almansouri, Abdullah Kafy, Meshari Alrumaihi, Wajeh Hariri, Esraa Alsafri Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Abdulrahim A Rouzi PO Box 80215, Jeddah, 21589, Saudi ArabiaTel +966 50 5602587Email aarouzi@gmail.comPurpose: To assess the maternal and neonatal outcomes of repeated trials of labor after one previous cesarean section.Materials and Methods: We identified and reviewed the records of all women who had had a trial of labor after cesarean section at a tertiary care center in Saudi Arabia between January 1, 2011, and December 30, 2018. The inclusion criteria were women with singleton vertex pregnancies between 24 and 42 weeks of gestation and a trial of labor after one cesarean section. The exclusion criteria were two or more previous cesarean sections, intrauterine fetal demise, breech presentation, labor induction, estimated fetal weight > 4 kg, and classical or low vertical uterine incision. The pregnancy outcomes of these women were compared according to the number of trials of labor after cesarean section.Results: During the study period, 1139 women met the inclusion criteria. The number of women with previous zero, one, two, or three or more trials of labor after cesarean section were 669 (58.7%), 237 (20.8%), 132 (11.6%), and 101 (8.9%), respectively. There were statistically significant trends between the four groups in age, nationality, gravidity, and parity but not in the booking status, BMI, or the hemoglobin level before a trial of labor after cesarean section. The rate of vaginal birth after cesarean section increased significantly (p< 0.001) from 72.9% with zero to 93.3% with one, 93.9% with two, and 94.1% with three or more trials of labor after cesarean section.Conclusion: Previously successful vaginal births after cesarean delivery are associated with improved maternal and neonatal outcomes in the subsequent trials of labor after cesarean delivery.Keywords: trial of labor after cesarean, cesarean section
format	article
author	Rouzi AA Alamoudi R Ghazali S Almansouri N Kafy A Alrumaihi M Hariri W Alsafri E
author_facet	Rouzi AA Alamoudi R Ghazali S Almansouri N Kafy A Alrumaihi M Hariri W Alsafri E
author_sort	Rouzi AA
title	A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes
title_short	A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes
title_full	A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes
title_fullStr	A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes
title_full_unstemmed	A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes
title_sort	retrospective study of the association of repeated attempts at trial of labor after cesarean birth on maternal and neonatal outcomes
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/213b553afe764a2aab005dd3527042b9
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A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes

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