Perinatal outcomes after successful and failed trials of labor after cesarean delivery

Yasser Y. El-Sayed, Melanie M. Watkins, Megan Fix, Maurice L. Druzin, Kristin M. Pullen, Aaron Caughey

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective: To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design: Matched maternal and neonatal data from 1993-1999 in women with singleton term pregnancies with prior cesarean undergoing trial of labor were reviewed. Women with uterine rupture were excluded. Maternal and neonatal outcomes were analyzed for successful and failed trials. Predictors of success and failure were examined. Results: 1284 women and their neonates were available for analysis. 1094 (85.2%) had a vaginal birth and 190 (14.8%) underwent repeat cesarean. Failed trials of labor were associated with higher incidence of choriamnionitis (25.8% vs. 5.5%, P

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume196
Issue number6
DOIs
StatePublished - Jun 2007
Externally publishedYes

Fingerprint

Trial of Labor
Uterine Rupture
Mothers
Parturition
Newborn Infant
Pregnancy
Incidence

Keywords

  • perinatal outcomes
  • VBAC

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Perinatal outcomes after successful and failed trials of labor after cesarean delivery. / El-Sayed, Yasser Y.; Watkins, Melanie M.; Fix, Megan; Druzin, Maurice L.; Pullen, Kristin M.; Caughey, Aaron.

In: American Journal of Obstetrics and Gynecology, Vol. 196, No. 6, 06.2007.

Research output: Contribution to journalArticle

El-Sayed, Yasser Y. ; Watkins, Melanie M. ; Fix, Megan ; Druzin, Maurice L. ; Pullen, Kristin M. ; Caughey, Aaron. / Perinatal outcomes after successful and failed trials of labor after cesarean delivery. In: American Journal of Obstetrics and Gynecology. 2007 ; Vol. 196, No. 6.
@article{a51b8e6fdd8c4d39acdf9f2b0d565665,
title = "Perinatal outcomes after successful and failed trials of labor after cesarean delivery",
abstract = "Objective: To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design: Matched maternal and neonatal data from 1993-1999 in women with singleton term pregnancies with prior cesarean undergoing trial of labor were reviewed. Women with uterine rupture were excluded. Maternal and neonatal outcomes were analyzed for successful and failed trials. Predictors of success and failure were examined. Results: 1284 women and their neonates were available for analysis. 1094 (85.2{\%}) had a vaginal birth and 190 (14.8{\%}) underwent repeat cesarean. Failed trials of labor were associated with higher incidence of choriamnionitis (25.8{\%} vs. 5.5{\%}, P",
keywords = "perinatal outcomes, VBAC",
author = "El-Sayed, {Yasser Y.} and Watkins, {Melanie M.} and Megan Fix and Druzin, {Maurice L.} and Pullen, {Kristin M.} and Aaron Caughey",
year = "2007",
month = "6",
doi = "10.1016/j.ajog.2007.03.013",
language = "English (US)",
volume = "196",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "6",

}

TY - JOUR

T1 - Perinatal outcomes after successful and failed trials of labor after cesarean delivery

AU - El-Sayed, Yasser Y.

AU - Watkins, Melanie M.

AU - Fix, Megan

AU - Druzin, Maurice L.

AU - Pullen, Kristin M.

AU - Caughey, Aaron

PY - 2007/6

Y1 - 2007/6

N2 - Objective: To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design: Matched maternal and neonatal data from 1993-1999 in women with singleton term pregnancies with prior cesarean undergoing trial of labor were reviewed. Women with uterine rupture were excluded. Maternal and neonatal outcomes were analyzed for successful and failed trials. Predictors of success and failure were examined. Results: 1284 women and their neonates were available for analysis. 1094 (85.2%) had a vaginal birth and 190 (14.8%) underwent repeat cesarean. Failed trials of labor were associated with higher incidence of choriamnionitis (25.8% vs. 5.5%, P

AB - Objective: To compare maternal and neonatal outcomes after successful and failed trials of labor after cesarean in women at term, excluding uterine ruptures, and to examine predictors of successful and failed trials of labor. Study Design: Matched maternal and neonatal data from 1993-1999 in women with singleton term pregnancies with prior cesarean undergoing trial of labor were reviewed. Women with uterine rupture were excluded. Maternal and neonatal outcomes were analyzed for successful and failed trials. Predictors of success and failure were examined. Results: 1284 women and their neonates were available for analysis. 1094 (85.2%) had a vaginal birth and 190 (14.8%) underwent repeat cesarean. Failed trials of labor were associated with higher incidence of choriamnionitis (25.8% vs. 5.5%, P

KW - perinatal outcomes

KW - VBAC

UR - http://www.scopus.com/inward/record.url?scp=34249657398&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34249657398&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2007.03.013

DO - 10.1016/j.ajog.2007.03.013

M3 - Article

C2 - 17547905

AN - SCOPUS:34249657398

VL - 196

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 6

ER -