دورية أكاديمية
Trial of labor versus elective cesarean delivery for patients with two prior cesarean-sections: A retrospective propensity score analysis
| العنوان: | Trial of labor versus elective cesarean delivery for patients with two prior cesarean-sections: A retrospective propensity score analysis |
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| المؤلفون: | Roux, Léa, Chiemlewski, Marie-Charlotte, Lassel, Linda, Isly, Helene, Enderle, Isabelle, Beuchée, Alain, Le Lous, Maela |
| المساهمون: | Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Ponchaillou, Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique EHESP (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), University Hospital of Rennes.Institut de la Mère et de l'Enfant, Rennes. |
| المصدر: | ISSN: 0301-2115. |
| بيانات النشر: | HAL CCSD Elsevier |
| سنة النشر: | 2023 |
| المجموعة: | Université de Rennes 1: Publications scientifiques (HAL) |
| مصطلحات موضوعية: | Elective cesarean section: neonatal outcomes, Maternal outcomes, Mode of delivery, Previous cesarean section, Trial of labor, Uterine scar, [SDV.IB]Life Sciences [q-bio]/Bioengineering, [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics |
| الوصف: | International audience ; Introduction: Despite awareness of obstetricians to the constant increase in the number of cesarean sections in recent years, the fear of a uterine scar rupture is still present and influences the choice of the mode of delivery in patients with two previous cesarean sections. However, several clinical studies have suggested that, under certain conditions, vaginal birth after two cesarean sections is usually successful and safe. Objective: The objective of this study was to compare maternal and neonatal issues according to the planned mode of delivery in patients with two previous cesarean sections. Methods: It was a retrospective observational comparative study at Rennes University Hospital between January 1, 2013, and December 31, 2020. We performed a propensity score for the comparison of neonatal outcomes: cord pH, cord lactates, Apgar scores, transfer to neonatal unit and deaths, according to the planned delivery mode. Secondary outcomes were maternal issues: uterine rupture, post-partum hemorrhage, deaths. Results: A total of 410 patients with two previous cesarean section were eligible for our study. Prophylactic cesarean was performed in 358 cases (87.3%). Trial of labor was attempted in the 52 remaining patients (12.7%), 67.3 % of whom were successful. Neonatal weight, APGAR score at 1–5–10 min, and pH on cord blood were comparable in both groups. One case of uterine rupture occurred in the trial of labor group. Conclusion: Trial of labor seems to be a reasonable option for women with two previous cesarean sections in a selected population. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/37295347; hal-04163549; https://hal.science/hal-04163549Test; https://hal.science/hal-04163549/documentTest; https://hal.science/hal-04163549/file/Roux%20et%20al.%20-%202023%20-%20Trial%20of%20labor%20versus%20elective%20cesarean%20delivery%20f.pdfTest; PUBMED: 37295347 |
| DOI: | 10.1016/j.ejogrb.2023.05.038 |
| الإتاحة: | https://doi.org/10.1016/j.ejogrb.2023.05.038Test https://hal.science/hal-04163549Test https://hal.science/hal-04163549/documentTest https://hal.science/hal-04163549/file/Roux%20et%20al.%20-%202023%20-%20Trial%20of%20labor%20versus%20elective%20cesarean%20delivery%20f.pdfTest |
| حقوق: | http://creativecommons.org/licenses/by-ncTest/ ; info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.7BF982BD |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.ejogrb.2023.05.038 |
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