E-ISSN: 2619-9467

Contents    Cover    Publication Date: 24 Dec 2020
Year 2020 - Volume 30 - Issue 4

Open Access

Peer Reviewed

ORIGINAL RESEARCH
624 Viewed476 Downloaded

The Obstetrics Outcomes of Vaginal Birth After Cesarean Section in a Cohort with High Induction of Labor Rate

  
J Clin Obstet Gynecol. 2020;30(4):146-52
DOI: 10.5336/jcog.2020-79203
Article Language: EN
Copyright Ⓒ 2020 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: Our primary objective is to evaluate the short-term maternal and perinatal results associated with the mode of delivery after cesarean section (CS). A second objective is to investigate the factors governing the success of trial of labor after cesarean (TOLAC). Material and Methods: In this retrospective cohort study, 126 singleton cephalic deliveries of women who had a history of one CS delivery were analyzed. The patients were divided into two groups: those who underwent TOLAC (n=31) and those who underwent elective repeat cesarean section (n=95). Delivery data, demographics, obstetric and medical history, intrapartum events, and maternal and perinatal outcomes were assessed. Results: The rate of successful vaginal birth after cesarean among the women who chose TOLAC was 64.5%. The groups were similar to each other with regard to maternal and perinatal complications. According to the current pregnancy characteristics of the patients with successful and failed vaginal delivery attempts; there were statistically significant differences between the groups in terms of Bishop scores and birth weights. The Bishop scores were higher in the successful TOLAC group (3.5 vs. 1; p=0.001). However, the birth weights were lower in the successful TOLAC group (3393±395 vs. 3708±430; p=0.049). The rate of spontaneous labor was higher in the successful TOLAC group, although it did not reach statistical significance. Conclusion: TOLAC is a farily safe procedure for selected pregnant women with one previous cesarean sections. It should be offered to all suitable pregnant women in order to reduce high CS rate and prevent complication associated with higher order repeat cesarean.
REFERENCES:
  1. World Health Organization Human Reproduction Programme, 10 April 2015. WHO Statement on caesarean section rates. Reprod Health Matters. 2015;23(45):149-50.[Crossref] [PubMed] 
  2. The Ministry of Health of Turkey. Turkey Demographic and Health Survey 2018. 2018. p.109.[Link] 
  3. Wingert A, Hartling L, Sebastianski M, Johnson C, Featherstone R, Vandermeer B, et al. Clinical interventions that influence vaginal birth after cesarean delivery rates: Systematic Review & Meta-Analysis. BMC Pregnancy Childbirth. 2019;19(1):529.[Crossref] [PubMed] [PMC] 
  4. American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery. Obstet Gynecol. 2019;133(2):110-27.[Crossref] [PubMed] 
  5. Keag OE, Norman JE, Stock SJ. Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis. PLoS Med. 2018;15(1):e1002494.[Crossref] [PubMed] [PMC] 
  6. Wymer KM, Shih YC, Plunkett BA. The cost-effectiveness of a trial of labor accrues with multiple subsequent vaginal deliveries. Am J Obstet Gynecol. 2014;211(1):56.e1-6.e12.[Crossref] [PubMed] 
  7. Xu X, Lee HC, Lin H, Lundsberg LS, Campbell KH, Lipkind HS, et al. Hospital variation in utilization and success of trial of labor after a prior cesarean. Am J Obstet Gynecol. 2019;220(1):98.e1-98.e14.[Crossref] [PubMed] 
  8. Devarajan S, Talaulikar VS, Arulkumaran S. Vaginal birth after caesarean. Obstetrics, Gynaecology & Reproductive Medicine. 2018;28(4):110-5.[Crossref] 
  9. Triebwasser JE, Kamdar NS, Langen ES, Moniz MH, Basu T, Syrjamaki J, et al. Hospital contribution to variation in rates of vaginal birth after cesarean. J Perinatol. 2019;39(7):904-10.[Crossref] [PubMed] [PMC] 
  10. Eyi EGY, Mollamahmutoglu L. An analysis of the high cesarean section rates in Turkey by Robson classification. J Matern Fetal Neonatal Med. 2019:1-11.[Crossref] [PubMed] 
  11. Tanos V, Toney ZA. Uterine scar rupture - Prediction, prevention, diagnosis, and management. Best Pract Res Clin Obstet Gynaecol. 2019;59:115-31.[Crossref] [PubMed] 
  12. Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. N Engl J Med. 2004;351(25):2581-9.[Crossref] [PubMed] 
  13. Macones GA, Peipert J, Nelson DB, Odibo A, Stevens EJ, Stamilio DM, et al. Maternal complications with vaginal birth after cesarean delivery: a multicenter study. Am J Obstet Gynecol. 2005;193(5):1656-62.[Crossref] [PubMed] 
  14. Macones GA, Hausman N, Edelstein R, Stamilio DM, Marder SJ. Predicting outcomes of trials of labor in women attempting vaginal birth after cesarean delivery: a comparison of multivariate methods with neural networks. Am J Obstet Gynecol. 2001;184(3):409-13.[Crossref] [PubMed] 
  15. Gonen R, Tamir A, Degani S, Ohel G. Variables associated with successful vaginal birth after one cesarean section: a proposed vaginal birth after cesarean section score. Am J Perinatol. 2004;21(8):447-53.[Crossref] [PubMed] 
  16. Kalok A, Zabil SA, Jamil MA, Lim PS, Shafiee MN, Kampan N, et al. Antenatal scoring system in predicting the success of planned vaginal birth following one previous caesarean section. J Obstet Gynaecol. 2018;38(3):339-43[Crossref] [PubMed] 
  17. Akçay T, Göl K, Şahin İ, Şimsek M. [The safety of vaginal birth after cesarean]. Turkiye Klinikleri J Gynecol Obst. 2001;11(4):224-7.[Link] 
  18. İngeç M, Kumtepe Y, Özdiller O, Coşgun S, Kadanalı S. [Vaginal birth after cesarean section]. T Klin Jinekol Obst. 2004;14(2):96-100.[Link] 
  19. Senturk MB, Cakmak Y, Atac H, Budak MS. Factors associated with successful vaginal birth after cesarean section and outcomes in rural area of Anatolia. Int J Womens Health. 2015;7:693-7.[Crossref] [PubMed] [PMC] 
  20. Ozek MO, Ozek A, Guler AE, Pehlivan H. Vaginal birth after cesarean (vbac) success and complication ratios in our clinic. J Turk Ger Gynecol Assoc. 2016;17:307.[Link] 
  21. Izbudak Uzun GP. Sezaryen sonrası vajinal doğum ile sezaryen doğumun maternal ve neonatal sonuçlarının karşılaştırılması. Zeynep Kamil Education and Research Hospital, Istanbul. 2018 Tez No: 497015.[Link] 
  22. Sims EJ, Newman RB, Hulsey TC. Vaginal birth after cesarean: to induce or not to induce. Am J Obstet Gynecol. 2001;184(6):1122-4.[Crossref] [PubMed] 
  23. American College of Obstetricians and Gynecologists. ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery. Obstet Gynecol. 2010;116(2 Pt 1):450-63.[Crossref] [PubMed] 
  24. Thapsamuthdechakorn A, Sekararithi R, Tongsong T. Factors Associated with Successful Trial of Labor after Cesarean Section: A Retrospective Cohort Study. J Pregnancy. 2018;2018:6140982.[Crossref] [PubMed] [PMC] 
  25. Li YX, Bai Z, Long DJ, Wang HB, Wu YF, Reilly KH, et al. Predicting the success of vaginal birth after caesarean delivery: a retrospective cohort study in China. BMJ Open. 2019;9(5):e027807.[Crossref] [PubMed] [PMC] 
  26. Mardy AH, Ananth CV, Grobman WA, Gyamfi-Bannerman C. A prediction model of vaginal birth after cesarean in the preterm period. Am J Obstet Gynecol. 2016;215(4):513.e1-7.[Crossref] [PubMed] 
  27. Wu Y, Kataria Y, Wang Z, Ming WK, Ellervik C. Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2019;19(1):360.[Crossref] [PubMed] [PMC] 
  28. Faucett AM, Allshouse AA, Donnelly M, Metz TD. Do Obese Women Receive the Necessary Interventions to Achieve Vaginal Birth after Cesarean? Am J Perinatol. 2016;33(10):991-7.[Crossref] [PubMed] 
  29. Landon MB, Grobman WA; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. What We Have Learned About Trial of Labor After Cesarean Delivery from the Maternal-Fetal Medicine Units Cesarean Registry. Semin Perinatol. 2016;40(5):281-6.[Crossref] [PubMed] [PMC] 
  30. Lin J, Hou Y, Ke Y, Zeng W, Gu W. Establishment and validation of a prediction model for vaginal delivery after cesarean and its pregnancy outcomes-Based on a prospective study. Eur J Obstet Gynecol Reprod Biol. 2019;242:114-21.[Crossref] [PubMed] 
  31. Kruit H, Wilkman H, Tekay A, Rahkonen L. Induction of labor by Foley catheter compared with spontaneous onset of labor after previous cesarean section: a cohort study. J Perinatol. 2017;37(7):787-92.[Crossref] [PubMed] 
  32. Gobillot S, Ghenassia A, Coston AL, Gillois P, Equy V, Michy T, et al. Obstetric outcomes associated with induction of labour after caesarean section. J Gynecol Obstet Hum Reprod. 2018;47(10):539-43.[Crossref] [PubMed] 
  33. Guise JM, McDonagh MS, Osterweil P, Nygren P, Chan BK, Helfand M. Systematic review of the incidence and consequences of uterine rupture in women with previous caesarean section. BMJ. 2004;329(7456):19-25.[Crossref] [PubMed] [PMC] 
  34. Chauhan SP, Martin JN Jr, Henrichs CE, Morrison JC, Magann EF. Maternal and perinatal complications with uterine rupture in 142,075 patients who attempted vaginal birth after cesarean delivery: A review of the literature. Am J Obstet Gynecol. 2003;189(2):408-17.[Crossref] [PubMed] 
  35. Cahill AG, Stamilio DM, Odibo AO, Peipert JF, Ratcliffe SJ, Stevens EJ, et al. Is vaginal birth after cesarean (VBAC) or elective repeat cesarean safer in women with a prior vaginal delivery? Am J Obstet Gynecol. 2006;195(4):1143-7.[Crossref] [PubMed] 
  36. Rossi AC, D'Addario V. Maternal morbidity following a trial of labor after cesarean section vs elective repeat cesarean delivery: a systematic review with metaanalysis. Am J Obstet Gynecol. 2008;199(3):224-31.[Crossref] [PubMed] 
  37. Cunningham FG, Bangdiwala SI, Brown SS, Dean TM, Frederiksen M, Rowland Hogue CJ, et al. NIH consensus development conference draft statement on vaginal birth after cesarean: new insights. NIH Consens State Sci Statements. 2010;27(3):1-42.[PubMed] 
  38. Guise JM, Eden K, Emeis C, Denman MA, Marshall N, Fu RR, et al. Vaginal birth after cesarean: new insights. Evid Rep Technol Assess (Full Rep). 2010;(191):1-397.[PubMed] [PMC] 
  39. Guise JM, Denman MA, Emeis C, Marshall N, Walker M, Fu R, et al. Vaginal birth after cesarean: new insights on maternal and neonatal outcomes. Obstet Gynecol. 2010;115(6):1267-78.[Crossref] [PubMed] 
  40. Kamath BD, Todd JK, Glazner JE, Lezotte D, Lynch AM. Neonatal outcomes after elective cesarean delivery. Obstet Gynecol. 2009;113(6):1231-8.[Crossref] [PubMed] [PMC] 
  41. Rossard L, Arlicot C, Blasco H, Potin J, Denis C, Mercier D, et al. Maturation cervicale par sonde à ballonnet sur utérus cicatriciel: étude rétrospective sur trois ans [Cervical ripening with balloon catheter for scared uterus: a three-year retrospective study]. J Gynecol Obstet Biol Reprod (Paris). 2013;42(5):480-7.[Crossref] [PubMed] 
  42. Jozwiak M, van de Lest HA, Burger NB, Dijksterhuis MG, De Leeuw JW. Cervical ripening with Foley catheter for induction of labor after cesarean section: a cohort study. Acta Obstet Gynecol Scand. 2014;93(3):296-301.[Crossref] [PubMed]