| Literature DB >> 20486068 |
Mildred M Ramirez1, Sharon Gilbert, Mark B Landon, Dwight J Rouse, Catherine Y Spong, Michael W Varner, Steve N Caritis, Ronald J Wapner, Yoram Sorokin, Menachem Miodovnik, Marshall Carpenter, Alan M Peaceman, Mary J O'Sullivan, Baha M Sibai, Oded Langer, John M Thorp, Brian M Mercer.
Abstract
We describe obstetric outcomes in a group of patients with prior cesarean delivery (CD) presenting with an intrauterine fetal demise (IUFD). A secondary analysis of an observational study of women with prior CD was performed. All antepartum singleton pregnancies with a prior CD and IUFD ≥20 weeks' gestation or 500 g were evaluated. Two hundred nine patients met inclusion criteria for analysis. The mean gestational age ± standard deviation at delivery was 31.3 ± 6.5 weeks. The trial of labor rate was 75.6% (158/209), and the vaginal birth after cesarean (VBAC) success rate was 86.7%. Labor induction or augmentation occurred in 83.3% of attempted VBAC. Uterine rupture occurred in five women (2.4%), and in 3.4% of those being induced but none of these required hysterectomy. Women with a history of previous CD and an IUFD often undergo trial of labor with a high VBAC success rate. Uterine rupture complicates 2.4% of such cases. © Thieme Medical Publishers.Entities:
Mesh：
Year: 2010 PMID： 20486068 PMCID： PMC3272299 DOI： 10.1055/s-0030-1254548
Source DB: PubMed Journal: Am J Perinatol ISSN： 0735-1631 Impact factor: 1.862