Journal ArticleDOI
Rates and Success Rates of Trial of Labor After Cesarean Delivery in the United States, 1990–2009
Sayeedha G Uddin,Alan E. Simon +1 more
TLDR
The rate of T OLAC in the US decreased between 1996 and 2005 and the rate of successful TOLAC has declined from 2000 to 2009.Abstract:
This study compares rates of trial of labor after Cesarean delivery (TOLAC) and rates of successful TOLAC between 1990 and 2009. Serial cross-sectional analyses were performed using the National Hospital Discharge Survey data to compare rates of TOLAC and TOLAC success between 1990 and 2009. Joinpoint regression was used to assess trends over time, and logistic regression with marginal effects was used to examine the unadjusted and adjusted significance and magnitude of trends. The rate of TOLAC reached a high of 51.8 % (95 % CI 47.8–55.8 %) in 1995 and a low of 15.9 % (95 % CI 13.8–18.0 %) in 2006, declined, on average, 4.2 (95 % CI −4.8 to −3.9) percentage points per year between 1996 and 2005. Rates increased significantly from 1990 to 1996 and 2005 to 2009. TOLAC success was at its highest rate in 2000, 69.8 % (95 % CI 65.2–74.3 %) and its lowest in 2008, 38.5 % (95 % CI 28.1–48.8 %). The rate of TOLAC success increased significantly between 1990 and 2000, but declined thereafter an average of 3.4 % points per year (95 % CI −4.3 to −2.5). The rate of TOLAC in the US decreased between 1996 and 2005 and the rate of successful TOLAC has declined from 2000 to 2009.read more
Citations
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Maternal Morbidity for Vaginal and Cesarean Deliveries, According to Previous Cesarean History: New Data From the Birth Certificate, 2013.
TL;DR: Findings are presented on four maternal morbidities associated with labor and delivery-maternal transfusion, ruptured uterus, unplanned hysterectomy, and intensive care unit (ICU) admission for a 41-state and District of Columbia reporting area, which represents 90% of all births in the United States.
Journal ArticleDOI
Management of Breech Presentation: Green-top Guideline No. 20b Management of Breech Presentation : Green-top Guideline No. 20b
Journal ArticleDOI
Prediction of vaginal birth after cesarean deliveries using machine learning.
Michal Lipschuetz,Michal Lipschuetz,Joshua Guedalia,Amihai Rottenstreich,Michal Novoselsky Persky,Sarah M. Cohen,Doron Kabiri,Gabriel Levin,Simcha Yagel,Ron Unger,Yishai Sompolinsky +10 more
TL;DR: Trial of labor after cesarean delivery is safe for most parturients, and a machine learning based model to predict when vaginal delivery would be successful was developed, suggesting that parturient allocation to risk groups may help delivery process management.
Journal ArticleDOI
Cesarean section rates in Brazil: Trend analysis using the Robson classification system.
TL;DR: The implementation of health policies to avoid the unnecessary performance of CS in RG1 and RG2 to decrease the CS rates in Brazil is suggested.
Journal ArticleDOI
Late preterm: a new high risk group in neonatology.
TL;DR: Late preterm infants have 2–3-fold increased risk of morbidities such as hypothermia, hypoglycemia, delayed lung fluid clearance, respiratory distress, poor feeding, jaundice, sepsis, and readmission rates after initial hospital discharge, which leads to huge impact on the overall health care resources.
References
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Acog practice bulletin
TL;DR: Much of the review will, of necessity, focus on general principles of critical care, extrapolating where possible to obstetric critical care.
Journal ArticleDOI
Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean Delivery
Mark B. Landon,John C. Hauth,Kenneth J. Leveno,Catherine Y. Spong,Sharon Leindecker,Michael W. Varner,Atef H. Moawad,Steve N. Caritis,Margaret Harper,Ronald J. Wapner,Yoram Sorokin,Menachem Miodovnik,Menachem Miodovnik,Marshall W. Carpenter,Alan M. Peaceman,Mary Jo O'Sullivan,Baha M. Sibai,Oded Langer,John M. Thorp,Susan M. Ramin,Brian M. Mercer,Steven G. Gabbe +21 more
TL;DR: The proportion of women who attempt vaginal delivery after prior cesarean delivery has decreased largely because of concern about safety, and the absolute and relative risks associated with a trial of labor in women with a history of cesAREan delivery are uncertain.
Journal ArticleDOI
Comparison of a Trial of Labor with an Elective Second Cesarean Section
TL;DR: Among pregnant women who have had a cesarean section, major maternal complications are almost twice as likely among those whose deliveries are managed with a trial of labor as among those who undergo an elective second cesAREan section.
Births: final data for 2007.
Joyce A Martin,Brady E Hamilton,Paul D Sutton,Stephanie J. Ventura,T J Mathews,Sharon Kirmeyer,Michelle J K Osterman +6 more
TL;DR: 2007 data on U.S. births according to a wide variety of characteristics suggest a decline in the number and rate of births overall, and for most age groups under age 40 years, while preliminary findings for 2008 suggest that these trends continued for cesarean delivery, unmarried childbearing, and preterm births.
Journal ArticleDOI
Contemporary cesarean delivery practice in the United States
Jun Zhang,James Troendle,Uma M. Reddy,S. Katherine Laughon,D. Ware Branch,Ronald T. Burkman,Helain J. Landy,Judith U. Hibbard,Shoshana Haberman,Mildred Ramirez,Jennifer L. Bailit,Matthew K. Hoffman,Kimberly D. Gregory,Victor Hugo Gonzalez-Quintero,Michelle A. Kominiarek,Lee A. Learman,Christos Hatjis,Paul Van Veldhuisen +17 more
TL;DR: To decrease cesarean delivery rate in the United States, reducing primary ces Harean delivery is the key, particularly in nulliparous women and in induced labor.
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